Chubinidzemd PLLC
NPI 1760739908 · Family Medicine Physician · Goshen, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chubinidzemd PLLC is a Family Medicine Physician organization in Goshen, KY (NPI 1760739908).
Provider details
- NPI number
- 1760739908
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omari Chubinidze, Owner(502) 244-5252
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Nurse163W00000X
Nursing Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Frequently asked questions
- What is Chubinidzemd PLLC's NPI number?
- Chubinidzemd PLLC's National Provider Identifier (NPI) is 1760739908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chubinidzemd PLLC?
- Chubinidzemd PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Chubinidzemd PLLC located?
- Chubinidzemd PLLC's practice location on file with NPPES is 1306 Old Taylor Trl, Goshen, KY 40026-9727.
- What is Chubinidzemd PLLC's phone number?
- The practice phone number listed in the NPPES registry for Chubinidzemd PLLC is (502) 244-5252.
- Does Chubinidzemd PLLC accept Medicare?
- Chubinidzemd PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chubinidzemd PLLC?
- The authorized official listed on Chubinidzemd PLLC's NPPES record is Omari Chubinidze, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chubinidzemd PLLC's NPI active?
- Yes — Chubinidzemd PLLC's NPI (1760739908) is active in the NPPES registry as of the last update on 2024-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.