Samuil Ivanovsky
NPI 1417698317ActiveIndividual· General Practice· Little Rock, AR
General Practice in Little Rock, Arkansas, licensed in AR, with an NPI issued in April 2022. Part D covered 62 prescriptions written in 2024, 79% of them generic.
Overview
| NPI | 1417698317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | E-19099 | AR |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 62 · 106 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $11,263 |
| Generic share | 79% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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