YEVHENIY LIDER (MD) – Emergency Medicine Physician, NPI 1033593629

YEVHENIY LIDER (MD) is a healthcare provider. based in Roswell, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2024001361 (MO). The NPI Number for YEVHENIY LIDER (MD) is 1033593629

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
YEVHENIY LIDER (MD)
NPI
1033593629
Phone
(770) 751-2500
Address
3000 HOSPITAL BLVD
Enumeration Date
14 July 2015
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
4178202115
Graduation Year
2015 (11 years ago)
PAC ID
9335490226
Group Practice PAC ID
7416867593
Professional Enrollment ID
I20240313002836
Address ID
MO658042203SP1235XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for YEVHENIY LIDER (MD)

  • 3000 HOSPITAL BLVD

    ROSWELL, GA 300764915

    Phone: (770) 751-2500

    Type: Location

  • 506 6th St

    Brooklyn, NY 112153609

    Phone: (718) 780-5040

    Fax: (718) 780-3153

    Type: Location

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • 3000 Hospital Blvd

    Roswell, GA 300764915

    Phone: (770) 751-2500

    Type: Location

  • 5665 NEW NORTHSIDE DR STE 320

    ATLANTA, GA 303285834

    Phone: (404) 265-4450

    Type: Mailing

  • 620 N MAIN ST

    HARRISON, AR 726012911

    Phone: (870) 414-4000

    Fax: (870) 414-4949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180914001310IEmergency MedicineGATBD
I20240313002836IEmergency MedicineMOTBD
I20250612004117IEmergency 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
99285Emergency department visit with high level of medical decision making209205$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only191176$0
99284Emergency department visit with moderate level of medical decision making109107$0
99291Critical care, first 30-74 minutes8686$0
99283Emergency department visit with low level of medical decision making2724$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416867593View full group profile
NameSpecialtyState
-MO
Emergency MedicineTX
Family Practice, Emergency MedicineVA
Emergency MedicineMO
-MO
Emergency MedicineUT
-MO
Emergency MedicineAK
Emergency MedicineMO
Emergency MedicineNE

Reviews

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Frequently asked questions

Where can patients find YEVHENIY LIDER (MD)'s NPI?
You can confirm YEVHENIY LIDER (MD) with NPI 1033593629; it appears in the national provider directory.
Is YEVHENIY LIDER (MD)'s NPI currently valid?
The extract we use shows YEVHENIY LIDER (MD) as active.
Does YEVHENIY LIDER (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for YEVHENIY LIDER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for YEVHENIY LIDER (MD)?
The page summarizes Roswell, Georgia for YEVHENIY LIDER (MD); expand the address list for detail.
Is YEVHENIY LIDER (MD) a real provider?
This page reflects official NPPES data for NPI 1033593629. Always confirm identity and privileges with the practice and licensing boards.

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