Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irakly Pataraia, DPM

Individual provider Podiatrist · NPI 1780051490

Irakly Pataraia, DPM is a Podiatry in Hallandale Beach, Florida. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with Podira LLC, a 2-clinician group and works from 3 locations. Licensed in Florida, Illinois and New York.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
FL, IL, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 33009-4841
Phone: (224) 616-1952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1445 Shermer Rd Apt 5a, Northbrook, IL 60062-5325 — (815) 463-0098
  • 3514 Mermaid Ave Ste 4, Brooklyn, NY 11224-1510 — (224) 616-1952

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4577 (FL)
Podiatrist Taxonomy 213E00000X · Licence 135001129 (IL)
Podiatrist Taxonomy 213E00000X · Licence 3600952 (NY)

Record details

NPI number1780051490
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Podira Llc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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