DR. OTABEK ELMURODOV M.D.
NPI 1972035632
Internal Medicine in Statesboro, GA
About Dr. Otabek Elmurodov M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OTABEK ELMURODOV M.D. (NPI 1972035632) is an individual internal medicine provider in Statesboro, Georgia, licensed in Georgia (081428) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Metter, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Otabek Elmurodov M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Otabek Elmurodov reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Physicians Services Group PC
- 80 clinicians in this Medicare group
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 240 clinicians in this Medicare group
Centre, AL 35960
- Reassigned Medicare billing, Georgia enrollment
- 157 clinicians in this Medicare group
Berwyn Heights, MD 20740
- Reassigned Medicare billing, District of Columbia enrollment
- 26 clinicians in this Medicare group
Berwyn Heights, MD 20740
- Reassigned Medicare billing, District of Columbia enrollment
- 23 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESBORO, GA 30458
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 Otabek Elmurodov's NPI number?
The NPI number for Otabek Elmurodov is 1972035632. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Otabek Elmurodov located?
Otabek Elmurodov practices at 106 Briarwood Rd, Statesboro, GA 30458. The listed phone number is (912) 871-5000.
What is Otabek Elmurodov's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Otabek Elmurodov enrolled in Medicare?
Yes. Otabek Elmurodov is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Otabek Elmurodov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Otabek Elmurodov reassigns Medicare benefits to 5 organizations: Physicians Services Group, P.C. (Greenville, SC), Southeast Medical Group, P.C. (Alpharetta, GA), Rural Urgent Care LLC (Centre, AL), Express Healthcare, LLC (Berwyn Heights, MD) and Med-Ped Health Care LLC (Berwyn Heights, MD). Each 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 Otabek Elmurodov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Otabek Elmurodov accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Otabek Elmurodov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Otabek Elmurodov was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Dr. Otabek Elmurodov, M.D. · NPI 1972035632
Internal Medicine physician in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1972035632 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 081428 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 106 BRIARWOOD RD, Statesboro, GA 30458-2459
- **Phone:** (912) 871-5000 · **Fax:** (912) 681-1444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Physicians Services Group, P.C. (NPI 1700357076, Greenville, SC); Southeast Medical Group, P.C. (NPI 1235296054, Alpharetta, GA); Rural Urgent Care LLC (NPI 1932586476, Centre, AL); Express Healthcare, LLC (NPI 1598994733, Berwyn Heights, MD); Med-Ped Health Care LLC (NPI 1336296730, Berwyn Heights, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 19, 2026
- **Other identifiers:** Other 39STUDENT (MI); Medicaid 1972035632 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972035632) · Data from the CMS NPPES public registry.