Individual provider Active NPI

Sergiy Shurin, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1104349398
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307367 Issued in NY
Practice address
403 E 91St St FL 2
New York, NY 10128-6800
Phone
(212) 427-9895
NPI assigned
Jul 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 307367 NY Primary
Nephrology Physician 207RN0300X 307367 NY

Addresses

Primary practice location

403 E 91St St FL 2
New York, NY 10128-6800

Mailing address

PO Box 416173
Boston, MA 02241-6173
Phone (610) 644-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516000342 NY Practitioner - Interventional RadiologyPractitioner - Nephrology 6204292386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

11919 Graham CT
Flushing, NY 11354-1047
Phone (718) 886-0700

206 -06 Hillside Ave
Queens Village, NY 11427-1710
Phone (718) 820-9729

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307367NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care Physician PLLC CurrentSince Jul 1, 2023 Accepting new patients
Renal Focus ASC LLC PastSince Dec 12, 2021 Accepting new patients
Ya-Tseng William Lu, M.D., PLLC Past Accepting new patients

Locations

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: sergiy.shurin.p31@direct.aac.nextgenshare.com
  • Direct secure messaging: sergiy.shurin.p28@direct.aac.nextgenshare.com
  • Direct secure messaging: sergiy.shurin.p39@direct.aac.nextgenshare.com
  • Direct secure messaging: sergiy.shurin.p118@direct.aac.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1104349398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 91ST ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286800",
            "telephone_number": "212-427-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURIN",
        "first_name": "SERGIY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "307367",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "307367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.