Maya Berdzenishvili MD LLC
NPI 1477155158ActiveOrganization· Internal Medicine, Pulmonary Disease· Boston, MA
Internal Medicine, Pulmonary Disease in Boston, Massachusetts, registered in NPPES in November 2020. The authorized official on file is Maya Berdzenishvili, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477155158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Feb 19, 2024 |
| Certified by provider | Feb 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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