EVGUENI ROUDACHEVSKI DO NPI 1215993787

NPI Information

  • NPI: 1215993787
  • Provider Name: EVGUENI ROUDACHEVSKI, DO
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11912 KANIS ROAD
    SUITE F-2
    LITTLE ROCK, AR
    ZIP 72211
  • Phone: (501) 227-8020

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NPI Details

Evgueni Roudachevski, DO is a geriatric medicine internal medicine in Little Rock, AR with 28 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Evgueni Roudachevski, DO NPI is 1215993787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1997

The provider's business location address is:

11912 KANIS ROAD
SUITE F-2
LITTLE ROCK, AR
ZIP 72211-733
Phone: (501) 227-8020
Fax: (501) 227-8826

The NPI 1215993787 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.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • 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)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 7/8/2007.

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
1207RG0300XInternal MedicineGeriatric MedicineE2957ARKANSASYes
2207R00000XInternal MedicineE2957ARKANSASX

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
1G78828MEDICARE UPIN
25L960MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 3/30/2025

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