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Samuil Ivanovsky

General Practice β€’ Little Rock, AR

Active NPI 1417698317 Individual Practitioner Male Practitioner
Practice location in NPPES

4301 W Markham St # 634
Little Rock, AR 722057199

Call 5016867592 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

4301 W Markham St # 634

Little Rock, AR 722057199

Telephone 5016867592

30-day fills

17 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$31 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

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

Can order Medicare-covered services

CMS lists Samuil Ivanovsky as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Little Rock and Arkansas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under General Practice in Arkansas (2024, 27 clinicians with data). Median for this group: 310. Middle half: 44 to 1,344.

Too few clinicians listed under General Practice in Little Rock have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under General Practice in Arkansas (2024, 27 clinicians with data). Median for this group: $23,367. Middle half: $393 to $157,901.

Too few clinicians listed under General Practice in Little Rock have Medicare Part D data for 2024 to compare.

13 active clinicians are listed under General Practice with a practice address in Little Rock, AR (86 in Arkansas).

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

Telehealth indicator in Little Rock

0% of these 13 clinicians have the CMS telehealth indicator.

23.1% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 11 510 $31.47 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES AR E-19099

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Maham Bakhtyar

Student in an Organized Health Care Education/Training Program

NPI 1972234839
Dr. Abeer Chaudhary , DO

Student in an Organized Health Care Education/Training Program

NPI 1932841715

Doctor of Osteopathic Medicine (D.O.)

Kyle Cook

Student in an Organized Health Care Education/Training Program

NPI 1730822495
Dr. Katie Dreher , MD

Student in an Organized Health Care Education/Training Program

NPI 1902549900

Doctor of Medicine (M.D.)

NPI 1306588116

Doctor of Medicine (M.D.), Master of Public Health

Dr. Mohammad Khrais , MD

Student in an Organized Health Care Education/Training Program

NPI 1619600186

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 05, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1417698317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: August 07, 2026
Sole Proprietor: Yes

Other General Practices in Little Rock

Healthcare providers in Little Rock

Mailing Address

4301 W Markham St # 634

Little Rock, AR 722057199

Phone: 5016867592

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.