Active NPI
Sergiy Shurin, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 307367
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 307367 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care Physician PLLC | Current | Accepting new patients | |
| Renal Focus ASC LLC | Past | 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
- sergiy.shurin.p31@direct.aac.nextgenshare.com
- sergiy.shurin.p28@direct.aac.nextgenshare.com
- sergiy.shurin.p39@direct.aac.nextgenshare.com
- 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.
-
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
- NPI 1235104878
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1952069023
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1467004556
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.