Individual provider Active NPI

Serge Sicular, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1326276866
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
264206 Issued in NY
Practice address
1176 5TH Ave
New York, NY 10029-6503
Phone
(212) 241-6824
NPI assigned
Jun 23, 2009
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 59598 TN
Diagnostic Radiology Physician 2085R0202X 264206 NY Primary

Addresses

Primary practice location

1176 5TH Ave
New York, NY 10029-6503

Mailing address

1176 5TH Ave
New York, NY 10029-6503

Other practice location 1

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624

Other practice location 2

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, PA, OR, CO, ID, IN, OH, SC, MN, FL, NC, NJ, TN14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20130803000173 NY Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 2 organizations
I20170802001822 AZ Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 9 organizations
I20191216002104 PA Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20221206002981 OR Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 2 organizations
I20221216000912 CO Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20230121000000 ID Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20230607000492 IN Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20230626001225 OH Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20241210000495 SC Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20250423000924 MN Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20250523000050 FL Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20250731004511 NC Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20250804003684 NJ Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization
I20251107004814 TN Practitioner - Diagnostic Radiology 0941442958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

5 E 98TH St
New York, NY 10029-6501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264206NYMDDiagnostic Radiology Physician
59598TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juno Medical Practice Family Medicine CurrentSince Jul 30, 2021 Accepting new patients
Family Practice Center, PC CurrentSince Mar 1, 2023 Accepting new patients
Millenium Medical Corp Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 28, 2025 Accepting new patients
Primary Care Partners, Inc. Family Medicine Current Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Fanno Creek Clinic LLC CurrentSince Aug 23, 2022 Accepting new patients
Lander Medical Clinic, PC Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 28, 2025 Accepting new patients
Primary Care Partners, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Northwest Medical Homes, LLC Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince May 1, 2025 Accepting new patients
Wilmington ASC LLC CurrentSince Aug 5, 2025 Accepting new patients
Colonial Family Practice, LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Colonial Family Practice, LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
American Health Network of Indiana LLC CurrentSince May 3, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 1, 2023 Accepting new patients
Wilmington Health PLLC CurrentSince Aug 5, 2025 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Sep 1, 2023 Accepting new patients
Northwest Medical Homes, LLC Family Medicine Current Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
American Health Network of Ohio, LLC Family Medicine CurrentSince May 17, 2023 Accepting new patients
Northwest Medical Homes, LLC Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Union County Health Care Associates LLC CurrentSince Sep 8, 2020 Accepting new patients
American Health Network of Ohio, LLC CurrentSince May 17, 2023 Accepting new patients
Family Practice Center, PC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Family First Medical Center, PLLC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 1, 2023 Accepting new patients
Excel Medical Center CurrentSince Jun 1, 2021 Accepting new patients
American Health Network of Indiana, LLC Family Medicine CurrentSince May 3, 2023 Accepting new patients
Fond Du Lac Reservation Business Committee Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Feb 20, 2025 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Matthews-Vu Medical Group, P.C. Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Optumcare Colorado Medical Group, LLC Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients

Locations (25 of 43)

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 208-3866

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCAA
  • FHIR API: https://api.platform.athenahealth.com/2483/brand/1/csg/1/fhir/r4
  • Direct secure messaging: serge.sicular.p1@direct.wilmingtonhealth.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations & group practices 49

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.

View all 49

Hospital & facility affiliations 11

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1326276866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "212-241-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13813 Metro Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "886-558-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICULAR",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "59598",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "264206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.