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

Teah Qvavadze, MD

Individual provider Surgery Physician · NPI 1033523501

Teah Qvavadze, MD is a Vascular Surgery in Springfield, Illinois. Qualified in 2006, 20 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
20
Licensed in
IL, PA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

747 N Rutledge St Fl 4
Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 W Hay St Ste 140, Decatur, IL 62526-4168 — (217) 872-2713

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036.166578 (IL)
Surgery Physician Taxonomy 208600000X · Licence MT207459 (PA)
Surgery Physician Taxonomy 208600000X · Licence 036.166578 (IL)

Record details

NPI number1033523501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2014
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing addressPo Box 19639, Springfield, IL 62794-9639

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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