Individual provider Active NPI

Vladimir Slutsker, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Gadsden, AL
National Provider Identifier
1215027362
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0102203302 Issued in VA
Practice address
801 Goodyear Ave
Gadsden, AL 35903-1133
Phone
(256) 439-5011
Fax
(256) 439-5002
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO-899 AL
Physical Medicine & Rehabilitation Physician 208100000X 0102203302 VA Primary

Addresses

Primary practice location

801 Goodyear Ave
Gadsden, AL 35903-1133

Mailing address

8439 Scott Dr
Trussville, AL 35173-3805
Phone (540) 786-6669

Other identifiers 3

IdentifierTypeStateIssuer
009933742MedicaidAL
0484567OtherVACIGNA
1215027362MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200804002437 FL Practitioner - Physical Medicine and Rehabilitation 1658264882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
Pensacola, FL 32514-0321
Phone (850) 494-3212

Hospital & facility affiliations

  • Florida West Rehabilitation Center Inpatient rehabilitation facility, Pensacola, FL, CCN 10T231

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-899ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC Physical Medicine & Rehabilitation CurrentSince Jul 31, 2020 Accepting new patients
Advanced Practice of Medicine PC Past Accepting new patients
Riverdale Internal Medicine & Geriatric Services, PC Past Accepting new patients

Locations

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

Interoperability endpoints

  • Direct secure messaging: vladimir.slutsker.1@24790.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1215027362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 SCOTT DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733805",
            "telephone_number": "540-786-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031133",
            "telephone_number": "256-439-5011",
            "fax_number": "256-439-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKER",
        "first_name": "VLADIMIR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "DO-899",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102203302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933742",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0484567",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215027362",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.