DR. GEORGI MIKELADZE (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1659397917

DR. GEORGI MIKELADZE (MD) is a healthcare provider. based in San francisco, California. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 0101225204 (VA). The NPI Number for DR. GEORGI MIKELADZE (MD) is 1659397917

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGI MIKELADZE (MD)
NPI
1659397917
Phone
(415) 833-4621
Address
4141 GEARY BLVD FL 2
Enumeration Date
13 July 2006
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4158332200
Graduation Year
1980 (46 years ago)
PAC ID
6507960283
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070406000218
Address ID
CA941153416SA2238XBLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for DR. GEORGI MIKELADZE (MD)

  • Geary Boulevard, Inner Richmond, Richmond District, San Francisco, California, 94118, United States

    CHRONIC PAIN MANAGEMENT

    SAN FRANCISCO, CA 941183109

    Phone: (415) 833-4621

    Fax: (415) 833-4414

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070406000218IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify DR. GEORGI MIKELADZE (MD) for billing?
Administrative and clinical systems typically use NPI 1659397917 for DR. GEORGI MIKELADZE (MD).
Is DR. GEORGI MIKELADZE (MD)'s NPI status active today?
Active status means DR. GEORGI MIKELADZE (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. GEORGI MIKELADZE (MD) does?
Insurance directories may phrase it differently, but here DR. GEORGI MIKELADZE (MD) maps to Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Is DR. GEORGI MIKELADZE (MD) tied to San Francisco, California?
If you are local to San Francisco, California, DR. GEORGI MIKELADZE (MD) may be relevant to your search.
Why is information missing for DR. GEORGI MIKELADZE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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