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

Eduard Rasputkov

Individual provider Adult Medicine Physician · NPI 1912400763

Eduard Rasputkov is a Family Practice in Kirksville, Missouri. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2020, 6 years ago. Practices with Bothwell Regional Health Center, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
MO
In the registry since
2018

Practice location Address checks out

800 W Jefferson St
Kirksville, MO 63501-1443
Phone: (660) 626-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 2023029983 (MO)

Record details

NPI number1912400763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address803 N Osteopathy, Kirksville, MO 63501-1367

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2020 (6 years in practice)
Group practice Bothwell Regional Health Center — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount