Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dmitriy Bakrukov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669962627

Dmitriy Bakrukov, MD is a Diagnostic Radiology in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with Medical Imaging Center LLP, a 38-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 325290-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669962627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESAugust 27, 2023
Certification dateAugust 27, 2023
Mailing address750 E Adams St, Syracuse, NY 13210-2306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical Imaging Center Llp — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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