Otar Datiashvili, MD
NPI 1083096572ActiveIndividual· Emergency Medicine· Bloomington, IN
Emergency Medicine (MD) in Bloomington, Indiana, trained at State University of New York at Stony Brook, School of Medicine (class of 2008). 287 Medicare patients in 2024, $34,177 paid; nearly all of their 159 Part D prescriptions were generic (96%).
Overview
| NPI | 1083096572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2015 |
| Last updated in NPPES | Mar 5, 2025 |
| Certified by provider | Mar 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 01093706A | IN |
| Emergency Medicine | 207P00000X | 273598-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IN); Practitioner - Emergency Medicine (MS); Practitioner - Emergency Medicine (NY); Practitioner - Emergency Medicine (PA); Practitioner - Emergency Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 287 |
|---|---|
| Services billed | 306 across 18 procedure codes |
| Paid by Medicare | $34,177 |
Part D prescriptions in 2024
| Prescriptions (claims) | 159 · 166 30-day fills |
|---|---|
| Patients | 113 |
| Total drug cost | $1,428 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Iu Health Medical Group LLCIndianapolis, IN · 4,462 clinicians
- Indiana University Health Southern Indiana Physicians LLCBloomington, IN · 463 clinicians
- Concord Company of Tennessee PLLCLeitchfield, KY · 71 clinicians
- Methodist South Emergency Physicians, PLLCMemphis, TN · 48 clinicians
- Olive Branch Emergency Physicians LLCOlive Branch, MS · 28 clinicians
Hospital affiliations
- Indiana University Health Bloomington HospitalBloomington, IN
- Indiana University Health Paoli HospitalPaoli, IN
- Methodist Healthcare - Olive Branch HospitalOlive Branch, MS
- Methodist Hospitals of MemphisMemphis, TN
- Perry County Memorial HospitalTell City, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Bloomington
- 1093246001
- 1326542168
- 1376553339
- 1396860979
- 1487145298
- 1811422215
- 1073562518
- 1134381296
- 1174634612
- 1225397235
- 1265534986
- 1356803472
All 59 emergency medicine physicians in Bloomington · All emergency medicine physicians in Indiana