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

Evgeny Idrisov, MD

Individual provider Internal Medicine Physician · NPI 1689061830

Evgeny Idrisov, MD is a Gastroenterology in Sarasota, Florida. Graduated from Florida State University College of Medicine in 2015, 11 years ago. Practices with Holy Cross Hospital Inc, a 300-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Oklahoma.

Years since qualifying
11
Trained at
Florida State University College of Medicine
Licensed in
FL, OK
In the registry since
2015
Specialties on file
4
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

1700 S Tamiami Trl
Sarasota, FL 34239
Phone: (941) 917-4896
Fax: (941) 917-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 — (405) 271-8001

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence PENDING (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME131245 (FL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence ME131245 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence TRN21341 (FL)

Record details

NPI number1689061830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2015
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing addressPo Box 863407, Orlando, FL 32886-3407

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Holy Cross Hospital Inc — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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