NPIMap

Individual provider Active NPI

Igor Rakovchik, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1982868899
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N4020 Issued in TX
Practice address
5814 Sandshell CT
Dallas, TX 75252-5401
Phone
(972) 365-9843
NPI assigned
Jul 10, 2008
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N4020 TX Primary
Spinal Cord Injury Medicine Physician 2081P0004X N4020 TX
Clinical Neurophysiology Physician 2084N0600X N4020 TX

Addresses

Primary practice location

5814 Sandshell CT
Dallas, TX 75252-5401

Mailing address

5814 Sandshell CT
Dallas, TX 75252-5401
Phone (972) 365-9842

Other identifiers 1

IdentifierTypeStateIssuer
N4020OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000294 TX Practitioner - Physical Medicine and RehabilitationPractitioner - General PracticePractitioner - Neurology 3375673304 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: General Practice, Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians
Integrative Pain Management Center PLLCGroup PAC ID 2062832108, 3 clinicians

Practice addresses (Care Compare)

7 Trails End Rd
Abilene, TX 79602-5501
Phone (210) 598-2800

7920 Belt Line Rd
Suite 120
Dallas, TX 75254-8148
Phone (214) 221-2588

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Medical Solutions, LLC. CurrentSince May 20, 2021 Accepting new patients
Mpower Clinical TX Clinical Neurophysiology CurrentSince Mar 28, 2025 Accepting new patients
Luis a Mignucci, MD PA CurrentSince Jun 1, 2020 Accepting new patients
American Integrated Healthcare PLLC Physical Medicine & Rehabilitation CurrentSince Nov 8, 2018 Accepting new patients
Plano Neurosurgical Associates, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Amb Eeg LLC CurrentSince Nov 22, 2019 Accepting new patients
Oversite Neuro Clinical Neurophysiology CurrentSince Feb 2, 2023 Accepting new patients
Lisbon Tech LLC Clinical Neurophysiology CurrentSince Jul 20, 2022 Accepting new patients
Advanced Neuro Solutions CurrentSince Apr 21, 2024 Accepting new patients
Integrative Pain Management Center PLLC CurrentSince Sep 18, 2018 Accepting new patients
A Younique Wellness Care Clinic Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Pinnacle Laboratories Past Accepting new patients
American Chiropractic Clinic PastSince May 18, 2017 Accepting new patients
William L High MD PA PastSince Apr 21, 2024 Accepting new patients
Elegance Body Enhancement Centers Past Accepting new patients

Locations

2910 Fannin St
#B
Beaumont, TX 77701
Phone (409) 833-0093

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

7920 Belt Line Rd
Ste 120
Dallas, TX 75254
Phone (214) 221-2588

3334 N Town East Blvd
Ste 102
Mesquite, TX 75150
Phone (972) 681-8321

4674 McDermott Rd
Ste 308
Plano, TX 75024
Phone (469) 607-1900

6160 Windhaven Pkwy
Ste 200
Plano, TX 75093
Phone (972) 378-6908

6160 Windhaven Pkwy
Ste 210
Plano, TX 75093
Phone (972) 378-4124

2915 W Bitters Rd
Ste 201
San Antonio, TX 78248

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1982868899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 SANDSHELL CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525401",
            "telephone_number": "972-365-9842",
            "fax_number": "972-692-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 SANDSHELL CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525401",
            "telephone_number": "972-365-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOVCHIK",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N4020",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "TX",
            "license": "N4020",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "N4020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "N4020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.