DR. DMITRY FAMILTSEV M.D. PH.D. NPI 1194161174

NPI Information

  • NPI: 1194161174
  • Provider Name: DR. DMITRY FAMILTSEV, M.D., PH.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1050 W 10TH ST
    ROLLA, MO
    ZIP 65401
  • Phone: (573) 308-1301

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NPI Details

DR. Dmitry Familtsev, M.D., PH.D. is an interventional cardiology internal medicine in Rolla, MO with 18 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Dmitry Familtsev, M.D., PH.D. NPI is 1194161174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 W 10TH ST
ROLLA, MO
ZIP 65401-905
Phone: (573) 308-1301
Fax: (573) 202-2480

The NPI 1194161174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system (HCPCS:93289)

The enumeration date for this NPI number is 5/16/2013 and was last updated on 3/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease2018013507MISSOURINo
2207RI0011XInternal MedicineInterventional Cardiology2018013507MISSOURIYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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