EVGUENI ROUDACHEVSKI (DO) – Geriatric Medicine (Internal Medicine) Physician, NPI 1215993787

EVGUENI ROUDACHEVSKI (DO) is a healthcare provider. based in Little rock, Arkansas. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. E2957 (AR). The NPI Number for EVGUENI ROUDACHEVSKI (DO) is 1215993787

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
EVGUENI ROUDACHEVSKI (DO)
NPI
1215993787
Phone
(501) 227-8020
Address
11912 KANIS ROAD
Enumeration Date
25 April 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5012278020
Graduation Year
1997 (29 years ago)
PAC ID
0749181410
Professional Enrollment ID
I20040115000964
Address ID
AR722113771LI11912RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

38 GERIATRIC MEDICINE in AR

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Provider Addresses for EVGUENI ROUDACHEVSKI (DO)

  • 11912, Kanis Road, Timber Ridge, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72211, United States

    SUITE F-2

    LITTLE ROCK, AR 722113733

    Phone: (501) 227-8020

    Fax: (501) 227-8826

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $818.

Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($126).

Total Amount

$818

General + Research + Ownership

Payments

40

Total payment records

General Amount

$818

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040115000964IGeriatric MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month1,783258$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month847119$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes646167$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes635189$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes530105$0
View full utilization report →

Insurance plans in this area (ZIP 72211)

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Reviews

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Frequently asked questions

Can I use this page to confirm EVGUENI ROUDACHEVSKI (DO)'s NPI?
Yes. EVGUENI ROUDACHEVSKI (DO) is listed with NPI 1215993787 in the public NPI dataset.
Does CMS list EVGUENI ROUDACHEVSKI (DO) as active?
Yes — EVGUENI ROUDACHEVSKI (DO) is active in the NPI listing used on this page.
What is EVGUENI ROUDACHEVSKI (DO)'s primary classification?
Geriatric Medicine (Internal Medicine) Physician is the headline specialty for EVGUENI ROUDACHEVSKI (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect EVGUENI ROUDACHEVSKI (DO) on a map?
Expect Little Rock, Arkansas as a primary anchor for EVGUENI ROUDACHEVSKI (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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