Malkhazi Mikadze, MD
NPI 1033150099 · Pediatric Emergency Medicine (Pediatrics) Physician · Hackensack, NJ
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Malkhazi Mikadze, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider in Hackensack, NJ (NPI 1033150099).
Provider details
- NPI number
- 1033150099
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA07954800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$255 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Frequently asked questions
- What is Malkhazi Mikadze's NPI number?
- Malkhazi Mikadze's National Provider Identifier (NPI) is 1033150099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Malkhazi Mikadze's specialty?
- Malkhazi Mikadze is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician (Allopathic & Osteopathic Physicians).
- Where is Malkhazi Mikadze located?
- Malkhazi Mikadze's practice location on file with NPPES is 30 Prospect Ave, Hackensack, NJ 07601-1914.
- What is Malkhazi Mikadze's phone number?
- The practice phone number listed in the NPPES registry for Malkhazi Mikadze is (201) 996-2000.
- Does Malkhazi Mikadze accept Medicare?
- Malkhazi Mikadze is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Malkhazi Mikadze's NPI active?
- Yes — Malkhazi Mikadze's NPI (1033150099) is active in the NPPES registry as of the last update on 2025-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.