EVGENY IDRISOV MD – NPI #1689061830
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

EVGENY IDRISOV is a physician located in SARASOTA, FL. NPPES has assigned the NPI number 1689061830 to EVGENY IDRISOV on April 24, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 4 years ago on Jul 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVGENY IDRISOV below.

NPI Profile for
EVGENY IDRISOV

NPI Number
1689061830
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EVGENY IDRISOV
Credentials
MD
Primary location
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Phone: (941) 917-4896 Fax: (941) 917-6884
1 Other location(s):
800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018
Phone: (405) 271-8001 Ext: 54287
Fax: (405) 271-5803
Mailing address
PO BOX 863407
ORLANDO, FL 32886-3407
Phone: (941) 917-2600 Fax: (941) 917-7884
Sole Proprietor
Yes
Updated
Certification Date
Jul 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 FL ME131245
207R00000X
- Internal Medicine		 FL ME131245

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EVGENY IDRISOV is affiliated with the following medical group(s):
  • HOSPITAL
    • HOLY CROSS HOSPITAL
      4725 N FEDERAL HWY
      FORT LAUDERDALE, FL 33308

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