RAMAZI OTAROVICH DATIASHVILI
NPI 1952466518
Surgery - Plastic and Reconstructive Surgery in Newark, NJ
About Ramazi Otarovich Datiashvili NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAMAZI OTAROVICH DATIASHVILI (NPI 1952466518) is an individual plastic and reconstructive surgery provider in Newark, New Jersey, licensed in New Jersey (25MA06921300) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ramazi Otarovich Datiashvili is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ramazi Datiashvili reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 149 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ramazi Datiashvili's NPI number?
The NPI number for Ramazi Datiashvili is 1952466518. It was assigned to this individual provider in the NPPES registry on December 26, 2006.
Where is Ramazi Datiashvili located?
Ramazi Datiashvili practices at 90 Bergen St Doc 7200, Newark, NJ 07103. The listed phone number is (973) 972-1129.
What is Ramazi Datiashvili's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Ramazi Datiashvili enrolled in Medicare?
Yes. Ramazi Datiashvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ramazi Datiashvili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ramazi Datiashvili reassigns Medicare benefits to University Physician Associates Of New Jersey Inc (Newark, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ramazi Datiashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ramazi Datiashvili affiliated with any hospitals?
According to CMS data, Ramazi Datiashvili is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Ramazi Datiashvili was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ramazi Otarovich Datiashvili · NPI 1952466518
Plastic and Reconstructive Surgery physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1952466518 (Entity type: Individual)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 25MA06921300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 BERGEN ST, DOC 7200, Newark, NJ 07103-2425
- **Phone:** (973) 972-1129 · **Fax:** (973) 972-2407
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physician Associates Of New Jersey Inc (NPI 1639189236, Newark, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1972
## Record status
- **NPPES last updated:** August 21, 2009
- **Other identifiers:** Medicare UPIN H39160 (NJ); Medicaid 8516006 (NJ); Medicare PIN 048599 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1952466518) · Data from the CMS NPPES public registry.