SOPIKO JIMSHELEISHVILI - NPI 1982353223 - Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Sopiko Jimsheleishvili's NPI number?

The NPI number for Sopiko Jimsheleishvili is 1982353223. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Sopiko Jimsheleishvili's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Sopiko Jimsheleishvili NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPIKO JIMSHELEISHVILI (NPI 1982353223) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2022).

NPPES Registry Identity

NPI1982353223

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSOPIKO JIMSHELEISHVILI

Location Address1611 NW 12TH AVE STE 600-DMiami, FL 33136-1005

Mailing Address1611 Nw 12th Ave Ste 600-dMiami, FL 33136-1005

Phone(305) 585-4310

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2022

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1982353223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE STE 600-D, Miami, FL 33136

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sopiko Jimsheleishvili is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941771067

PECOS Enrollment IDI20260609002289

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANA ESPERANZA PEREZ MD

Student in an Organized Health Care Education/Training Program