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Dmitri Tartsakov

Speech-Language Pathologist β€’ Phoenix, AZ

Active NPI 1669957551 Individual Practitioner Male Practitioner
Practice location in NPPES

6131 N 27th Ave Apt 2014
Phoenix, AZ 850171756

Call 6028057305 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6131 N 27th Ave Apt 2014

Phoenix, AZ 850171756

Telephone 6028057305
Organization at the Same NPPES Address or Phone
Effective Therapy Llc Facility NPI 1053069070

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

934 active clinicians are listed under Speech-Language Pathologist with a practice address in Phoenix, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0.4% of these 934 clinicians have the CMS telehealth indicator.

1.7% of these 934 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 17, 2022

Registered at 6131 N 27TH AVE APT 2014, PHOENIX, AZ 850171756 (Tel: 6028057305)

πŸ“
Updated Business Mailing Address March 17, 2022

Registered at 6131 N 27TH AVE APT 2014, PHOENIX, AZ 850171756

βœ…
NPI Profile Active September 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2018

Registered at 116 W 32ND ST FL 8, NEW YORK, NY 100013212 (Tel: 2125642350)

πŸ“
Business Mailing Address (Initial Record) September 26, 2018

Registered at 116 W 32ND ST FL 8, NEW YORK, NY 100013212

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2018

Recorded as DMITRI TARTSAKOV

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration September 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669957551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2018
Last Update: March 17, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Phoenix

All Speech-Language Pathologists in Phoenix

Mailing Address

6131 N 27th Ave Apt 2014

Phoenix, AZ 850171756

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.