IndividualActive
Eka Maisuradze
NPI 1558982124 · Meals Provider · Philadelphia, PA
Eka Maisuradze is a Meals Provider provider in Philadelphia, PA (NPI 1558982124).
Provider details
- NPI number
- 1558982124
- Entity type
- Individual
- Primary specialty
- Meals ProviderOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8336 Bustleton Ave
Philadelphia, PA 19152-1909
Phone: (215) 742-9811
Street-level locationGet directions
Mailing address
8336 Bustleton Ave
Philadelphia, PA 19152-1909
Additional practice locations (1)
- 8336 Bustleton AvePhiladelphia, PA 19152-1909Phone: (215) 742-9811
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Frequently asked questions
- What is Eka Maisuradze's NPI number?
- Eka Maisuradze's National Provider Identifier (NPI) is 1558982124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eka Maisuradze's specialty?
- Eka Maisuradze is listed in the NPPES registry with a primary specialty of Meals Provider (Other Service Providers).
- Where is Eka Maisuradze located?
- Eka Maisuradze's practice location on file with NPPES is 8336 Bustleton Ave, Philadelphia, PA 19152-1909.
- What is Eka Maisuradze's phone number?
- The practice phone number listed in the NPPES registry for Eka Maisuradze is (215) 742-9811.
- Is Eka Maisuradze's NPI active?
- Yes — Eka Maisuradze's NPI (1558982124) is active in the NPPES registry as of the last update on 2020-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.