DR. MIKHAIL KHODARKOVSKIY M.D. NPI 1215919196

NPI Information

  • NPI: 1215919196
  • Provider Name: DR. MIKHAIL KHODARKOVSKIY, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 E IL ROUTE 83 STE 105
    MUNDELEIN, IL
    ZIP 60060
  • Phone: (847) 970-9922

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NPI Details

DR. Mikhail Khodarkovskiy, M.D. is a family medicine in Mundelein, IL with 42 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mikhail Khodarkovskiy, M.D. NPI is 1215919196. 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:

333 E IL ROUTE 83 STE 105
MUNDELEIN, IL
ZIP 60060-278
Phone: (847) 970-9922
Fax: (847) 970-9955

The NPI 1215919196 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up observation care per day, typically 25 minutes (HCPCS:99225)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS:99407)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)
  • Urinalysis, manual test (HCPCS:81002)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 8/12/2023.

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
1207Q00000XFamily Medicine036-107538ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036-107538-4MEDICAIDILLINOIS

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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