Individual provider Active NPI

Rumen Slavkov, M.D.

  • Psychiatry Physician
  • Mesa, AZ
National Provider Identifier
1043269186
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214878 Issued in NY
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

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150925000443 NY Practitioner - Psychiatry 8820064447 Reassigns benefits to 2 organizations
I20250602002311 WA Practitioner - Psychiatry 8820064447 Reassigns benefits to 1 organization
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214878NYMDPsychiatry Physician
MD60145058WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Sinnissippi Centers, Inc. Single Specialty Past Accepting new patients
Lakeshorehealthcare Single Specialty PastSince Jan 1, 2010 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.

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

Verify at the official NPI Registry.