Arthur Lyakhovetsky, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

01047262A Issued in IN

Practice address

1220 Adams St
Hollywood, FL 33019-1803

Phone

(317) 414-7372

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bloomington Meadows GPGroup PAC ID 6002707494, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bloomington Meadows GP

  • Family Nurse Practitioner
  • Bloomington, IN
  • NPI 1033298120
  Medicare reassignment Care Compare group NPD
• South Central General and Geriatric Psychiatry PC

  • Geriatric Psychiatry Physician
  • Indianapolis, IN
  • NPI 1245648617
  NPD (past) Authorized official
• Bloomington Meadows GP

  • Psychiatric Hospital
  • Bloomington, IN
  • NPI 1891796108
  NPD (past)
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Montpelier, IN
  • NPI 1417838574
  NPD (past)
• Midwest Dysphagia Consultants, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
  • NPI 1639404171
  NPD (past)
• Primehealth of Indiana LLC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1609329093
  NPD (past)
• Riverview Hospital

  • Skilled Nursing Facility
  • La Fontaine, IN
  • NPI 1568579993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1124097142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BALLOU RD",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471198523",
            "telephone_number": "502-794-6852",
            "fax_number": "877-215-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ADAMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191803",
            "telephone_number": "317-414-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYAKHOVETSKY",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "01042262B",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "01047262A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100474390A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000183814",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra S Lupo, FNP-BC
• Carla Alexandra Luque, PHARM.D., M.S., C.PH
• Lux Medical Health Center Inc
• Luxottica of America Inc
• Luxottica Retail North America Inc
• Lydia V. Wallace, D.O., P.a.
• Lymphatic Solutions & Therapy, LLC
• David Lynn
• Roni Lynn, O.T. L
• James C Lyons, DDS

• Geriatric Psychiatry Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.