OLGA IZIUMENKO MD
NPI 1083295646
Dermatology in Springfield, IL

Active since April 15, 2021PECOS Enrolled
751 N RUTLEDGE ST STE 2300, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7438 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2022, Apr 15, 2021 (2 updates tracked since 2021).

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 Springfield, Illinois, licensed in Illinois (125079859) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1083295646
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameOLGA IZIUMENKOCredential: MD
Location Address751 N RUTLEDGE ST STE 2300Springfield, IL 62702-4968
Mailing AddressPo Box 19644Springfield, IL 62794-9644 · (217) 545-8000
Fax(217) 545-7438
Sole ProprietorYes
Enumeration DateApril 15, 2021
Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 4, 2022
NPI 1083295646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License 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.
751 N RUTLEDGE ST STE 2300, Springfield, IL 62702

Secondary Practice Location 1

Location 12035 Carville Dr Apt 15DReno, NV 89512-3132 · Phone (725) 502-0443

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).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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 18

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

Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Internal Medicine (Rheumatology)
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Internal Medicine (Infectious Disease)
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Olga Iziumenko located?

Olga Iziumenko practices at 751 N Rutledge St Ste 2300, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Olga Iziumenko's specialty?

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

Is Olga Iziumenko enrolled in Medicare?

Yes. Olga Iziumenko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olga Iziumenko was last updated on July 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.