Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Nino Dgebuadze, M.D., PH.D.

Physical Medicine & Rehabilitation Physician in Hagerstown, MD · enumerated 2007.

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

National Provider Identifier

1679779409

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Registry record

Entity type Individual (Type 1)

Name Nino Dgebuadze

Credential M.D., PH.D.

Sex Female

Practice address 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD, 21740

Phone (301) 797-9240

Fax (301) 797-4119

Enumeration date Jun 27, 2007

Last updated in NPPES Nov 20, 2018

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License D0073349 (MD) Primary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 2007012244 (MO) 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
97628601	Other	MD	BCBS LOCAL CAREFIRST KG85
333505400	Medicaid	MD	-
W2660030	Other	MD	BCBS REGIONAL W266
P01024230	Other	MD	RR MEDICARE MD

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 1679779409 active?

Yes, as of the latest NPPES snapshot, NPI 1679779409 is active (record last updated 2018-11-20).

How do I verify Nino Dgebuadze's NPI record?

Cross-check NPI 1679779409 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 2018-11-20.