MIKHAIL ROUBAKHA MD
NPI 1699262683
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 301-6800 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2024, Apr 16, 2018 (2 updates tracked since 2018).

About Mikhail Roubakha Md NPPES

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

MIKHAIL ROUBAKHA MD (NPI 1699262683) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A176054) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699262683
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMIKHAIL ROUBAKHACredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-2621
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1699262683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · A176054✔ Licensed in MA · 1013313
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
757 WESTWOOD PLZ, Los Angeles, CA 90095

Other Names 1

Other Name (5)Michael Roubakha Md

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-8323
Location 2836 W Wellington AveChicago, IL 60657-5147 · Phone (773) 296-5424

Accepted Insurance

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

Mikhail Roubakha Md 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 ID3173876828
PECOS Enrollment IDI20250117000129
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mikhail Roubakha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
12021 WILMINGTON AVE., BLDG. 11 SUITE 1000
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 554 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
Skilled Nursing Facility
460 BRIELLE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 1,615 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.

Areas of Expertise CMS Part B claims 3

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
36 services33 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
19 services19 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Mikhail Roubakha's NPI number?

The NPI number for Mikhail Roubakha is 1699262683. It was assigned to this individual provider in the NPPES registry on April 16, 2018. The provider is also known as Michael Roubakha MD.

Where is Mikhail Roubakha located?

Mikhail Roubakha practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 301-6800.

What is Mikhail Roubakha's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mikhail Roubakha enrolled in Medicare?

Yes. Mikhail Roubakha 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 organizations bill Medicare for Mikhail Roubakha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikhail Roubakha reassigns Medicare benefits to 3 organizations: Martin Luther King Jr Community Medical Foundation (Los Angeles, CA), New York University (Boynton Beach, FL) and New York City Health And Hospitals Corporation (Staten Island, NY). Each 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 Mikhail Roubakha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mikhail Roubakha accept?

Health plans from Taro Health list Mikhail Roubakha 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.

Is Mikhail Roubakha affiliated with any hospitals?

According to CMS data, Mikhail Roubakha is affiliated with Long Island Community Hospital, Bellevue Hospital Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Mikhail Roubakha was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.