OrganizationActive
Lusomed LLC
NPI 1104778638 · Medical Specialty Clinic/Center · Brooklyn, NY
Lusomed LLC is a Medical Specialty Clinic/Center organization in Brooklyn, NY (NPI 1104778638).
Provider details
- NPI number
- 1104778638
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ketevani Shavliashvili, Founder & Ceo(347) 733-3709
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
2635 E 24th St Apt 1
Brooklyn, NY 11235-2698
Phone: (347) 733-3709
Street-level locationGet directions
Mailing address
2635 E 24th St Apt 1
Brooklyn, NY 11235-2698
Registry dates
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Lusomed LLC's NPI number?
- Lusomed LLC's National Provider Identifier (NPI) is 1104778638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lusomed LLC?
- Lusomed LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lusomed LLC located?
- Lusomed LLC's practice location on file with NPPES is 2635 E 24th St Apt 1, Brooklyn, NY 11235-2698.
- What is Lusomed LLC's phone number?
- The practice phone number listed in the NPPES registry for Lusomed LLC is (347) 733-3709.
- Who is the authorized official for Lusomed LLC?
- The authorized official listed on Lusomed LLC's NPPES record is Ketevani Shavliashvili, Founder & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lusomed LLC's NPI active?
- Yes — Lusomed LLC's NPI (1104778638) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.