IndividualActive
Mamuka Gventsadze
NPI 1841003589 · Surgery Physician · Brookline, MA
Mamuka Gventsadze is a Surgery Physician provider in Brookline, MA (NPI 1841003589).
Provider details
- NPI number
- 1841003589
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 3017581 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
6 Parkway Rd
Brookline, MA 02445-5463
Phone: (617) 416-4203
Street-level locationGet directions
Mailing address
6 Parkway Rd
Brookline, MA 02445-5463
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Mamuka Gventsadze's NPI number?
- Mamuka Gventsadze's National Provider Identifier (NPI) is 1841003589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamuka Gventsadze's specialty?
- Mamuka Gventsadze is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mamuka Gventsadze located?
- Mamuka Gventsadze's practice location on file with NPPES is 6 Parkway Rd, Brookline, MA 02445-5463.
- What is Mamuka Gventsadze's phone number?
- The practice phone number listed in the NPPES registry for Mamuka Gventsadze is (617) 416-4203.
- Is Mamuka Gventsadze's NPI active?
- Yes — Mamuka Gventsadze's NPI (1841003589) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.