Individual provider Active NPI

Serge Somrov, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1346462629
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
235434 Issued in NY
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 235434 NY Primary
Body Imaging Physician 2085B0100X 235434 NY
Diagnostic Radiology Physician 2085R0202X 235434-1 NY

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070707000064 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 7012017957 Reassigns benefits to 10 organizations
I20190709000834 VT Practitioner - Diagnostic Radiology 7012017957 Reassigns benefits to 2 organizations
I20191029001085 SC Practitioner - Diagnostic Radiology 7012017957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians
Atlantic Radiology Imaging PCGroup PAC ID 2769570373, 8 clinicians
City Wide Health Facility, Inc.Group PAC ID 6608766688, 6 clinicians
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians

Practice addresses (Care Compare)

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

103 Quentin Rd
Brooklyn, NY 11223-1173
Phone (347) 462-9292

105 Kings Hwy
Brooklyn, NY 11214-1525
Phone (718) 236-6800

127 Mathias Weiden Dr
Narrowsburg, NY 12764-6324
Phone (302) 645-3300

1869 83Rd St
Suite C
Brooklyn, NY 11214-2947
Phone (718) 975-2626

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235434NYMDDiagnostic Radiology Physician
235434-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
City Wide Health Facility, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Arteleradiology of New York, PC Body Imaging CurrentSince Jan 2, 2025 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Community Radiology CurrentSince Sep 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Allendale County Hospital Board Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Canal Radiology Associates, P.C. Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 25, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Atlantic Radiology Imaging PC CurrentSince Nov 1, 2015 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 16, 2025 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Mar 31, 2024 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 25, 2019 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Calais Community Hospital Past Accepting new patients
Northern Radiology Imaging Center, PLLC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients
Radiology Consultants of Maine, LLC Diagnostic Radiology Past Accepting new patients
Jal 28 LLC Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

103 Quentin Rd
Brooklyn, NY 11223
Phone (347) 462-9292

6817 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 236-6800

1869 83rd St
Ste C
Brooklyn, NY 11214
Phone (718) 975-2626

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

13633 37th Ave
Ste 6C
Flushing, NY 11354
Phone (718) 975-2626

1880 E Jericho Tpke
Fl 2
Huntington, NY 11743
Phone (718) 975-2626

212 Canal St
Rm 206
New York, NY 10013
Phone (212) 349-5799

477 Madison Ave
Ste 410
New York, NY 10022
Phone (212) 455-9555

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 8

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1346462629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMROV",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "235434",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "235434",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "235434-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.