Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Konstantin Dzamashvili, MD

Neurology Physician in Fort Myers, FL · enumerated 2005 · practices at Florida Neurology Group P L.

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

National Provider Identifier

1174529085

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Registry record

Entity type Individual (Type 1)

Name Dr. Konstantin Dzamashvili

Credential MD

Sex Male

Practice address 12670 Whitehall Dr, Fort Myers, FL, 33907

Phone (239) 936-3554

Fax (239) 936-8993

Enumeration date Jun 24, 2005

Last updated in NPPES Nov 18, 2016

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 036093821 (IL) Secondary

2084V0102X Vascular Neurology Physician Allopathic & Osteopathic Physicians · License 036093821 (IL) Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License ME126918 (FL) Primary

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
206147046	Other	-	MEDICARE PTAN (INDIVIDUAL)
CA4748	Other	-	MEDICARE RAILROAD (GROUP)
206147	Other	-	MEDICARE PTAN (GROUP)
036093821	Other	IL	STATE LICENSE
036093821	Medicaid	IL	-
P00904562	Other	-	MEDICARE RAILROAD (PROVIDER)

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.

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Frequently asked questions

Is NPI 1174529085 active?

Yes, as of the latest NPPES snapshot, NPI 1174529085 is active (record last updated 2016-11-18).

How do I verify Konstantin Dzamashvili's NPI record?

Cross-check NPI 1174529085 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-18.