DR. ALEXANDER SUKHORUKOV D.M.D.
NPI 1902273139
Dentist - General Practice in Louisville, KY

Active since August 24, 2015PECOS Enrolled
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216(502) 447-3323(913) 752-9116 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexander Sukhorukov D.m.d. NPPES

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

DR. ALEXANDER SUKHORUKOV D.M.D. (NPI 1902273139) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9673) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1902273139
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEXANDER SUKHORUKOVCredential: D.M.D.
Location Address4420 DIXIE HWY STE 110Louisville, KY 40216-2986
Mailing Address1105 Clifty DrMadison, IN 47250-1614 · (812) 273-0207 · Fax (812) 273-3366
Fax(913) 752-9116
Sole ProprietorNo
Enumeration DateAugust 24, 2015
Last NPPES UpdateOctober 30, 2018
NPI 1902273139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in KY · 9673 Licensed in IN · 12012414A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4420 DIXIE HWY STE 110, Louisville, KY 40216

Secondary Practice Location 1

Location 11105 Clifty DrMadison, IN 47250-1614 · Phone (812) 273-0207 · Fax (812) 273-3366

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alexander Sukhorukov D.m.d. 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 40216 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 8

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

Dentist
4420 DIXIE HWY STE 110
SHIVELY, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (Prosthodontics)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Preventive Medicine (Addiction Medicine)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Dentist
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216

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 Alexander Sukhorukov's NPI number?

The NPI number for Alexander Sukhorukov is 1902273139. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Alexander Sukhorukov located?

Alexander Sukhorukov practices at 4420 Dixie Hwy Ste 110, Louisville, KY 40216. The listed phone number is (502) 447-3323.

What is Alexander Sukhorukov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alexander Sukhorukov enrolled in Medicare?

Yes. Alexander Sukhorukov is registered in the Medicare PECOS enrollment system.

What insurance does Alexander Sukhorukov accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Alexander Sukhorukov 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 Alexander Sukhorukov was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.