Active NPI
Sergey Zhitnikov, MD
- Surgery Physician
- Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD450442
- Practice address
- 1 Medical Center Blvd
Acp 11, Suite 326
Chester, PA 19013-3902 - Phone
- (610) 619-8450
- Fax
- (610) 619-8451
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 044063 | CT | |
| Surgery Physician | 208600000X | MD450442 | PA | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Acp 11, Suite 326
Chester, PA 19013-3902
Mailing address
One Medical Center Blvd
Pob 11, Suite 326
Upland, PA 19013-3901
Phone (610) 619-8450
Other practice location 1
120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6800
Other practice location 2
450 S Washington St Fl 3
Gettysburg, PA 17325-2500
Phone (717) 339-3110
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2V7418 | Other | CT | HEALTH NET |
| 560H71 | Other | CT | EMPIRE BC/BS |
| 044063 | Other | CT | CONNECTICARE |
| 7370741 | Other | CT | AETNA - PPO |
| 9386052 | Other | CT | CIGNA |
| 1207285 | Other | CT | AETNA - HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Surgery | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Saint Raphael Faculty Physicians | Surgery | Past | Accepting new patients |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Surgery | Past | Accepting new patients |
| Prospect Health Access Network, Inc. | Past | Accepting new patients |
Locations
120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 326
Chester, PA 19013
Phone (610) 619-8450
1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400
450 S Washington St
Ste C
Gettysburg, PA 17325
Phone (717) 334-8141
450 S Washington St
Fl 3
Gettysburg, PA 17325
Phone (717) 339-3110
500 Evergreen Dr
Ste 23
Glen Mills, PA 19342
Phone (610) 579-3630
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1083640478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER BLVD",
"address_2": "POB 11, SUITE 326",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133901",
"telephone_number": "610-619-8450",
"fax_number": "610-619-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "ACP 11, SUITE 326",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-619-8450",
"fax_number": "610-619-8451"
}
],
"practiceLocations": [
{
"address_1": "120 N 7th St Ste 200",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011795",
"country_code": "US",
"telephone_number": "717-217-6800",
"fax_number": "717-839-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 S Washington St Fl 3",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252500",
"country_code": "US",
"telephone_number": "717-339-3110",
"fax_number": "717-339-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHITNIKOV",
"first_name": "SERGEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "044063",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD450442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V7418",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "560H71",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "044063",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO",
"identifier": "7370741",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9386052",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "1207285",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.