Individual provider Active NPI

Sergey Georgiyevsky

  • Anesthesiology Physician
  • Mountain Top, PA
National Provider Identifier
1235130394
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD070667L Issued in PA
Practice address
56 N Mountain Blvd
Jameson Hospital
Mountain Top, PA 18707-1117
Phone
(570) 474-1130
NPI assigned
Aug 10, 2005
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD070667L PA Primary

Addresses

Primary practice location

56 N Mountain Blvd
Jameson Hospital
Mountain Top, PA 18707-1117

Mailing address

56 N Mountain Blvd
Jameson Hospital
Mountain Top, PA 18707-1117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sergey.georgiyevskiy@upmcdirect.com UPMC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000018 PA Practitioner - Anesthesiology 5395773576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1211 Wilmington Ave
Jameson Hospital
New Castle, PA 16105-2516
Phone (724) 658-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070667LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Interoperability endpoints

  • Direct secure messaging: sergey.georgiyevskiy@upmcdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1235130394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 N MOUNTAIN BLVD",
            "address_2": "JAMESON HOSPITAL",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N MOUNTAIN BLVD",
            "address_2": "JAMESON HOSPITAL",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071117",
            "telephone_number": "570-474-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIYEVSKY",
        "first_name": "SERGEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD070667L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sergey.georgiyevskiy@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

Verify at the official NPI Registry.