Doctor profile · Federal record
Dr. Irakly Pataraia, DPM
Foot & Ankle Surgery Podiatrist (CMS: Podiatry) · Podiatrist · Podiatrist · Hallandale Beach, FL
- NPI 1780051490
- 5 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 330094841
(224) 616-1952 - Additional location
-
1445 Shermer RD Apt 5A
Northbrook, IL 600625325
(815) 463-0098
fax (815) 462-4955 - Additional location
-
3514 Mermaid Ave Ste 4
Brooklyn, NY 112241510 - Mailing address
-
4646 N Marine Dr
Chicago, IL 606405759
Credentials & registration
- NPI registered
- August 2015 — 11 yrs on file
- Profile last updated
- April 7, 2026
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 213ES0103X — NUCC code
- State licenses (3)
- Florida #PO4577 · Illinois #135001129 · New York #3600952
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780051490. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$113
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Orthofix Medical, INC. | 2 | $113.29 |
By nature of payment
Frequently asked questions
What is Dr. Irakly Pataraia's medical specialty?
Dr. Irakly Pataraia practices Foot & Ankle Surgery Podiatrist in Hallandale Beach, FL.
Where does Dr. Irakly Pataraia practice?
Dr. Irakly Pataraia practices at 2500 E Hallandale Beach Blvd Ste 811, Hallandale Beach, FL 330094841. Office phone: 2246161952.
What is Dr. Irakly Pataraia's NPI?
Dr. Irakly Pataraia's National Provider Identifier (NPI) is 1780051490, issued by NPPES.
Does Dr. Irakly Pataraia accept Medicare assignment?
Dr. Irakly Pataraia does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.