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IZOUMROUD OSMANOVNA SOULTANOVA MD, PH.D
NPI 1265626790
Family Medicine in Little Rock, AR

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
11912 KANIS RD STE F2, LITTLE ROCK, AR 72211(501) 227-8020 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Izoumroud Osmanovna Soultanova Md, Ph.d NPPES

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

IZOUMROUD OSMANOVNA SOULTANOVA MD, PH.D (NPI 1265626790) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-6465) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1265626790
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameIZOUMROUD OSMANOVNA SOULTANOVACredential: MD, PH.D
Location Address11912 KANIS RD STE F2Little Rock, AR 72211-3771
Mailing Address11912 Kanis Rd Ste F2Little Rock, AR 72211-3771 · (501) 227-8020
Phone(501) 227-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 28, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265626790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-6465
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11912 KANIS RD STE F2, Little Rock, AR 72211
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Other Identifiers 1

Medicaid183018001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Izoumroud Osmanovna Soultanova Md, Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860524022
PECOS Enrollment IDI20100723000309
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
209 services20 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
66 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
27 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims70 services$6.50 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier18 claims18 services$3.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers37 claims37 services$15.41 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$3.31 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers41 claims41 services$69.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

EVGUENI ROUDACHEVSKI, D.O.
Assisted Living Facility
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020
JYRISSA ROBINSON & CO LLC
Nurse Practitioner (Primary Care)
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020
HAPSY D GLOVER APN
Nurse Practitioner (Gerontology)
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020

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 Izoumroud Soultanova's NPI number?

The NPI number for Izoumroud Soultanova is 1265626790. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Izoumroud Soultanova located?

Izoumroud Soultanova practices at 11912 Kanis Rd Ste F2, Little Rock, AR 72211. The listed phone number is (501) 227-8020.

What is Izoumroud Soultanova's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Izoumroud Soultanova enrolled in Medicare?

Yes. Izoumroud Soultanova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Izoumroud Soultanova accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Izoumroud Soultanova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Izoumroud Soultanova was last updated on July 21, 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.