Igor Richard Yusupov, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

44305 Issued in AZ

Practice address

11000 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-5111

Phone

(602) 266-2272

Fax

(602) 266-2927

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 15, 2025 through Sep 15, 2027

Specialty

Neurosurgery

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Arizona Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1740402940
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1285897991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545111",
            "telephone_number": "602-266-2272",
            "fax_number": "602-266-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545111",
            "telephone_number": "602-266-2272",
            "fax_number": "602-266-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062771",
            "country_code": "US",
            "telephone_number": "602-266-2272",
            "fax_number": "602-266-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUPOV",
        "first_name": "IGOR",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "44305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598763",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yue Yuan, PHARMD
• Alan Yudell, M.D.
• Kylie A Yuhas, PA-C
• Jin H Yuk, M.D.
• Yulia Koltzova-Rang MD PLLC
• Zabel Medical PLLC
• Zaccari & Associates, LLC
• Annette Zaccari, LCSW
• Caitlyn Zaccari, RCSWI
• Canela Zacharopoulos, M.S., CCC-SLP

• Neurological Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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; Opt Out Affidavits.
• 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.