Active NPI
Serge Sicular, M.D.
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 264206
- Practice address
- 1176 5TH Ave
New York, NY 10029-6503 - Phone
- (212) 241-6824
- NPI assigned
- Jun 23, 2009
- Last updated
- Nov 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 264206 | NY | MD | Diagnostic Radiology Physician |
| 59598 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juno Medical Practice | Family Medicine | Current | Accepting new patients |
| Family Practice Center, PC | Current | Accepting new patients | |
| Millenium Medical Corp | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Primary Care Partners, Inc. | Family Medicine | Current | Accepting new patients |
| Primary Care Partners, Inc. | Family Medicine | Current | Accepting new patients |
| Fanno Creek Clinic LLC | Current | Accepting new patients | |
| Lander Medical Clinic, PC | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Primary Care Partners, Inc. | Current | Accepting new patients | |
| Northwest Medical Homes, LLC | Family Medicine | Current | Accepting new patients |
| Fond Du Lac Reservation Business Committee | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Family Medicine | Current | Accepting new patients |
| Greater Phoenix Collaborative Care PC | Diagnostic Radiology | Current | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Current | Accepting new patients |
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | 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 | Current | Accepting new patients |
| American Health Network of Ohio, LLC | Family Medicine | Current | Accepting new patients |
| Northwest Medical Homes, LLC | Family Medicine | Current | Accepting new patients |
| Union County Health Care Associates LLC | Current | Accepting new patients | |
| American Health Network of Ohio, LLC | Current | Accepting new patients | |
| Family Practice Center, PC | Family Medicine | Current | Accepting new patients |
| Family First Medical Center, PLLC | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Excel Medical Center | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Fond Du Lac Reservation Business Committee | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Family Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/BEGCAA
- https://api.platform.athenahealth.com/2483/brand/1/csg/1/fhir/r4
- serge.sicular.p1@direct.wilmingtonhealth.nextgenshare.com
- 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.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
Family Medicine
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
-
dba Colonial Family Practice
- Family Medicine Physician
- Sumter, SC
- NPI 1518074640
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1033314273
-
- Internal Medicine Physician
- Portland, OR
- NPI 1609876705
-
dba Fond du Lac Human Services Division
- Clinic/Center
- Cloquet, MN
- NPI 1326053166
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.
- 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.