NELLY W. KVIRIKADZE (MD) – Hospitalist Physician, NPI 1932291069

NELLY W. KVIRIKADZE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 036114198 (IL). The NPI Number for NELLY W. KVIRIKADZE (MD) is 1932291069

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
NELLY W. KVIRIKADZE (MD)
NPI
1932291069
Phone
Not provided
Address
680 N LAKE SHORE DR
Enumeration Date
28 September 2006
Last Update Date
18 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472345600
Graduation Year
1983 (43 years ago)
PAC ID
3678574951
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20070130000129
Address ID
IL600451659LA1000XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,390 HOSPITALIST in IL

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Provider Addresses for NELLY W. KVIRIKADZE (MD)

  • 680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 1000

    CHICAGO, IL 606114546

    Phone:

    Type: Mailing

  • 660, North Westmoreland Road, Kennedy, Lake Forest, Lake, Illinois, 60045, United States

    LAKE FOREST, IL 600451659

    Phone: (847) 234-5600

    Fax: (847) 941-7902

    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: 2007-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20070130000129IHospitalistIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes375174$0
99239Hospital discharge day management, more than 30 minutes197194$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes103103$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7243$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6348$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify NELLY W. KVIRIKADZE (MD) with an NPI only?
You can start verification with NPI 1932291069 for NELLY W. KVIRIKADZE (MD), then check state licensing separately.
Can I rely on NELLY W. KVIRIKADZE (MD) being an active provider?
As of the registry snapshot, NELLY W. KVIRIKADZE (MD) is marked active.
What is NELLY W. KVIRIKADZE (MD) best known for clinically?
Directory data describes NELLY W. KVIRIKADZE (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NELLY W. KVIRIKADZE (MD)?
NELLY W. KVIRIKADZE (MD)'s geographic hint is Chicago, Illinois in our summary view.
Is the information about NELLY W. KVIRIKADZE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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