Otar Datiashvili, MD
NPI 1083096572 · Emergency Medicine Physician · Bloomington, IN
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Otar Datiashvili, MD is a Emergency Medicine Physician provider in Bloomington, IN (NPI 1083096572).
Provider details
- NPI number
- 1083096572
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01093706A (IN)
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 tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
285 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 193 | $166 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 76 | $114 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 16 | $67 |
Typical Medicare-allowed amounts for these services range $67–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 26 | 26 |
| Methylprednisolone | 15 | 15 |
| Cyclobenzaprine Hcl | 14 | 14 |
| Famotidine | 14 | 14 |
| Azithromycin | 11 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 11 | 11 |
| Ondansetron Hcl | 11 | 11 |
| Prednisone |
Practice location
Mailing address
Additional practice locations (1)
- 60 Roberts Dr Ste 313North Adams, MA 01247-3254Phone: (413) 398-5509
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Otar Datiashvili's NPI number?
- Otar Datiashvili's National Provider Identifier (NPI) is 1083096572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Otar Datiashvili's specialty?
- Otar Datiashvili is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Otar Datiashvili located?
- Otar Datiashvili's practice location on file with NPPES is 2651 E Discovery Pkwy, Bloomington, IN 47408-9059.
- What is Otar Datiashvili's phone number?
- The practice phone number listed in the NPPES registry for Otar Datiashvili is (812) 353-9515.
- Does Otar Datiashvili accept Medicare?
- Otar Datiashvili is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Otar Datiashvili's NPI active?
- Yes — Otar Datiashvili's NPI (1083096572) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.