Active NPI
Rumen Slavkov, M.D.
- Psychiatry Physician
- Mesa, AZ
National Provider Identifier
1043269186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 214878
- Practice address
- 1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676 - Phone
- (520) 447-1606
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 214878 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD60145058 | WA |
Addresses
Primary practice location
1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Mailing address
17104 SE 60TH St
Bellevue, WA 98006-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214878 | NY | MD | Psychiatry Physician |
| MD60145058 | WA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Medicine PLLC. | Single Specialty | Current | Accepting new patients |
| Sinnissippi Centers, Inc. | Single Specialty | Past | Accepting new patients |
| Lakeshorehealthcare | Single Specialty | Past | Accepting new patients |
Locations
315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404
535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- New York, NY
- NPI 1467539874
Single Specialty
-
- Family Medicine Physician
- Maspeth, NY
- NPI 1518571751
-
- Psychologist
- Redmond, WA
- NPI 1609221720
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochelle, IL
- NPI 1407143837
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1043269186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17104 SE 60TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 S STAPLEY DR STE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "852046676",
"telephone_number": "520-447-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVKOV",
"first_name": "RUMEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "214878",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD60145058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.