DR. OTABEK ELMURODOV M.D. - NPI 1972035632 - Internal Medicine in Statesboro, GA

Q: 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.

Q: What is Otabek Elmurodov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Otabek Elmurodov was last updated on March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1972035632

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OTABEK ELMURODOVCredential: M.D.

Location Address106 BRIARWOOD RDStatesboro, GA 30458-2459

Mailing AddressPo Box 117598Atlanta, GA 30368-7598 · (770) 442-1911 · Fax (770) 442-0306

Phone(912) 871-5000

Fax(912) 681-1444

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 31, 2017

Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1972035632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 081428

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

106 BRIARWOOD RD, Statesboro, GA 30458

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Secondary Practice Location 1

Location 1380 South Conyers StreetMetter, GA 30439 · Phone (912) 685-3992 · Fax (912) 685-3993

Other Identifiers 2

Other39STUDENTMI · Sinai-grace Hospital/dmc - Transitional Year Residency Program

Medicaid1972035632MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Otabek Elmurodov M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547538357

PECOS Enrollment IDI20260305001309, I20260318000433

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.