VASIL MAMALADZE (MD) – Anesthesiology Physician, NPI 1073832929
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,714 ANESTHESIOLOGY in MI
Provider Addresses for VASIL MAMALADZE (MD)
75 REMITTANCE DR DEPT 3040
CHICAGO, IL 606753040
Phone:
Type: Mailing
1447 N HARRISON ST
SAGINAW, MI 486024727
Phone: (989) 583-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101201000690 | I | Anesthesiology | MI | TBD |
| I20240904000747 | I | Anesthesiology | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 55 | 55 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 24 | 24 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 21 | 21 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 18 | 18 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60675)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 82 | 79 |
| ANESTHESIOLOGY | MI | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 88 | 87 |
| ANESTHESIOLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | MD | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| A N E S T H E S I O L O G Y | WI | |
| Anesthesiology, Pain Management | WI | |
| Pain Management, Anesthesiology, Anesthesiology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| A N E S T H E S I O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IL |
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