Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLGA IZIUMENKO MD
NPI 1083295646
Dermatology in Urbana, IL

Q: What is Olga Iziumenko's NPI number?

The NPI number for Olga Iziumenko is 1083295646. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Olga Iziumenko's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Olga Iziumenko was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2021PECOS Enrolled

1818 E WINDSOR RD, URBANA, IL 61802(217) 255-9500 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2026, Jul 4, 2022, Apr 15, 2021 (3 updates tracked since 2021).

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About Olga Iziumenko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLGA IZIUMENKO MD (NPI 1083295646) is an individual dermatology provider in Urbana, Illinois, licensed in Illinois (036180841) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083295646

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameOLGA IZIUMENKOCredential: MD

Location Address1818 E WINDSOR RDUrbana, IL 61802-9566

Mailing Address611 W Park StUrbana, IL 61801-2529

Phone(217) 255-9500

Sole ProprietorYes

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2022

Enumeration DateApril 15, 2021

Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1083295646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in IL · 036180841✔ Licensed in IL · 125079859

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1818 E WINDSOR RD, Urbana, IL 61802

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Secondary Practice Locations 2

Location 1751 N Rutledge St Ste 2300Springfield, IL 62702-4968 · Phone (217) 545-8000 · Fax (217) 545-7438

Location 22035 Carville Dr Apt 15DReno, NV 89512-3132 · Phone (725) 502-0443

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olga Iziumenko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234511981

PECOS Enrollment IDI20260731001009

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALCOLM C HILL MD

Pediatrics