TSIALA MOZAIDZE – Internal Medicine Physician, NPI 1407134489

TSIALA MOZAIDZE is a healthcare provider. based in Hypoluxo, Florida. specializing in INTERNAL MEDICINE. They hold a License No. MT199516 (PA). The NPI Number for TSIALA MOZAIDZE is 1407134489

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
TSIALA MOZAIDZE
NPI
1407134489
Phone
(570) 904-3149
Address
103 YACHT CLUB WAY
Enumeration Date
25 July 2011
Last Update Date
27 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617661300
Graduation Year
1980 (46 years ago)
PAC ID
4183846876
Group Practice PAC ID
1456628601
Professional Enrollment ID
I20141113000625
Address ID
FL334604333LA1711XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for TSIALA MOZAIDZE

  • 103 YACHT CLUB WAY

    #306

    HYPOLUXO, FL 33462

    Phone: (570) 904-3149

    Fax: (877) 519-4595

    Type: Mailing

  • 5301 S CONGRESS AVE

    ATLANTIS, FL 334621149

    Phone: (561) 588-4844

    Fax: (877) 519-4595

    Type: Location

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: 2014-11-13

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
I20141113000625IInternal MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes827246$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes173149$0
99239Hospital discharge day management, more than 30 minutes160144$0
View full utilization report →

Insurance plans in this area (ZIP 33462)

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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: 1456628601View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerVA
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check TSIALA MOZAIDZE using NPI 1407134489?
NPI 1407134489 belongs to TSIALA MOZAIDZE; compare other details if you need extra assurance.
Active or inactive — what applies to TSIALA MOZAIDZE?
You should see TSIALA MOZAIDZE as active in CMS-hosted NPPES data.
What kind of doctor is TSIALA MOZAIDZE?
TSIALA MOZAIDZE is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TSIALA MOZAIDZE associated with Hypoluxo?
Public fields place TSIALA MOZAIDZE around Hypoluxo, Florida. Always confirm the exact site before visiting.
Does TSIALA MOZAIDZE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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