Maksim Ilich Pukhalskiy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E6149 Issued in CA

Practice address

3870 Rosin CT
Sacramento, CA 95834-1620

Phone

(916) 923-8490

NPI assigned

Jun 30, 2022

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpukhalskiy240029@hpmg.direct-ci.net

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.

• Jiva Health, Inc

  • Internal Medicine Physician
  • Concord, CA
  • NPI 1285223552

  Podiatrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1518699230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 SCALLOP CT",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605213",
            "telephone_number": "916-923-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 ROSIN CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341620",
            "telephone_number": "916-923-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUKHALSKIY",
        "first_name": "MAKSIM",
        "middle_name": "ILICH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise M Pugh
• Nadia May Celino Pugh
• Shantia Pugh
• Kathleen Puglia, MD
• Amit Pujari
• Rhonda Puleo, LMFT
• Jose Elmer Pulido-Gaona
• Kathy Pulido
• Marisol Ana Pulido, BEHAVIOR THERAPIST
• Pedro Pulido

• Podiatrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
• 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.