DR. MIKHAIL JOUTOVSKY D.O NPI 1942526173
Family Medicine - Addiction Medicine in Butte, MT

Individual Male Family Medicine Addiction Medicine PECOS Enrolled

About DR. MIKHAIL JOUTOVSKY D.O

Mikhail Joutovsky is a provider established in Butte, Montana and his medical specialization is Family Medicine with a focus in addiction medicine . The NPI number of Mikhail Joutovsky is 1942526173 and was assigned on April 2010. The practitioner's primary taxonomy code is 207QA0401X with license number 40557 (MT). The provider is registered as an individual and his NPI record was last updated March 2022. Mikhail Joutovsky operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1942526173
Provider NameDR. MIKHAIL JOUTOVSKY D.O
Provider Location Address1341 HARRISON AVE STE 15 BUTTE, MT 59701
Provider Mailing Address1341 HARRISON AVE STE 15 BUTTE, MT 59701
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date04-13-2010
Last Update Date03-31-2022

Mikhail Joutovsky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Mikhail Joutovsky is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code207QA0401X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationAddiction Medicine
License No.40557
License StateMT
Taxonomy DescriptionA family medicine physician who specializes in the diagnosis and treatment of addictions.

Business Address

DR. MIKHAIL JOUTOVSKY D.O
1341 HARRISON AVE STE 15
BUTTE, MT
ZIP 59701
Phone: (406) 299-2944
Fax: (406) 299-2944

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Mailing Address

DR. MIKHAIL JOUTOVSKY D.O
1341 HARRISON AVE STE 15
BUTTE, MT
ZIP 59701
Phone: (406) 299-2944
Fax: (406) 299-2944


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1942526173
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298210212114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 2 + 1 + 2 + 1 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1942526173 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881334605SAGE MOUNTAIN HEALTH
Organization
Family Medicine (Addiction Medicine)1341 HARRISON AVE STE 15
BUTTE, MT 59701
(406) 249-2944

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Mikhail Joutovsky D.o is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.