Chubinidzemd PLLC
NPI 1760739908ActiveOrganization· Family Medicine· Goshen, KY
Family Medicine in Goshen, Kentucky, registered in NPPES in August 2012. The authorized official on file is Omari Chubinidze, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760739908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2012 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (KY) |
|---|
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