DR. NIKOLOZ KOSHKELASHVILI (M.D.) – Interventional Cardiology Physician, NPI 1295177889
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
386 INTERVENTIONAL CARDIOLOGY in PA
Provider Addresses for DR. NIKOLOZ KOSHKELASHVILI (M.D.)
5501 OLD YORK RD
PHILADELPHIA, PA 191413018
Phone: (215) 456-6500
Type: Mailing
701 N STATE OF FRANKLIN RD
STE 2
JOHNSON CITY, TN 376043645
Phone: (215) 456-6500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,836.
Total Amount is formed as General ($1,836) + Research ($0) + Ownership ($0) = $1,836.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Boston Scientific Corporation ($381).
Total Amount
$1,836
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,836
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210727001488 | I | Interventional Cardiology | TN | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 481 | 468 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 352 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 269 | 213 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 165 | 83 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 157 | 106 | $0 |
Insurance plans in this area (ZIP 19141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN |
Reviews
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