DR. MAKSIM ILICH PUKHALSKIY DPM
NPI 1518699230
Podiatrist in Sacramento, CA
About Dr. Maksim Ilich Pukhalskiy Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAKSIM ILICH PUKHALSKIY DPM (NPI 1518699230) is an individual podiatrist in Sacramento, California, licensed in California (E6149) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Maksim Ilich Pukhalskiy Dpm 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.
Medicare Billing Reassignment
Medicare enrollment records show Maksim Pukhalskiy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, CA 94519
- Reassigned Medicare billing, California enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95834
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 Maksim Pukhalskiy's NPI number?
The NPI number for Maksim Pukhalskiy is 1518699230. It was assigned to this individual provider in the NPPES registry on June 30, 2022.
Where is Maksim Pukhalskiy located?
Maksim Pukhalskiy practices at 3870 Rosin Ct, Sacramento, CA 95834. The listed phone number is (916) 923-8490.
What is Maksim Pukhalskiy's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Maksim Pukhalskiy enrolled in Medicare?
Yes. Maksim Pukhalskiy 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.
Which organization bills Medicare for Maksim Pukhalskiy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maksim Pukhalskiy reassigns Medicare benefits to Jiva Health, Inc (Concord, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maksim Pukhalskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maksim Pukhalskiy was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Maksim Ilich Pukhalskiy, DPM · NPI 1518699230
Podiatrist provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since June 30, 2022.
## Identity
- **NPI:** 1518699230 (Entity type: Individual)
- **Enumerated:** June 30, 2022
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** E6149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3870 ROSIN CT, Sacramento, CA 95834-1620
- **Phone:** (916) 923-8490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jiva Health, Inc (NPI 1285223552, Concord, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** California School Of Podiatric Medicine, class of 2022
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518699230) · Data from the CMS NPPES public registry.