Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Otar Datiashvili, MD

Emergency Medicine Physician in Bloomington, IN · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083096572

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Registry record

Entity type Individual (Type 1)

Name Otar Datiashvili

Credential MD

Sex Male

Practice address Bloomington, IN, 47408

Phone (812) 353-9515

Fax (812) 353-9275

Enumeration date Jun 22, 2015

Last updated in NPPES Mar 5, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 01093706A (IN) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 273598-1 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
03782025	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Otar Datiashvili?

Otar Datiashvili is registered in NPPES with the primary taxonomy of Emergency Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-05.