Sergey Ananyev, M.D.
Individual provider Active NPI Urology Physician · Decatur, AL
NPI 1366645459 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1366645459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 29207 (AL)
- Practice address
- 1210 14TH Ave SE
Decatur, AL 35601 - Phone
- (256) 353-0605
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Alabama School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alabama Urology and Robotics Center
Practice addresses (Care Compare)
1210 14TH Ave SE
Decatur, AL 35601-4313
Phone (256) 353-0605
Hospital & facility affiliations
- Decatur Morgan Hospital - Decatur Campus
- Cullman Regional Medical Center
- Crestwood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.28 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 87.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120625000576 | AL | Practitioner - Urology | 4385809383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29207 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Urology and Robotics Center | Urology | Current |
Accepting new patients |
| Decatur General Hospital | Urology | Past | Accepting new patients |
Locations
1107 14th Ave SE
Ste G200
Decatur, AL 35601
Phone (256) 353-0605
1210 14th Ave SE
Decatur, AL 35601
Phone (256) 353-0605
Interoperability endpoints
- ananyev@alur.gwaydirect.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29207 | AL | Yes |
Addresses
Primary practice location
1210 14TH Ave SE
Decatur, AL 35601
Mailing address
1210 14TH Ave SE
Decatur, AL 35601-4313
Phone (256) 353-0605
Other practice location 1
44 Hughes Rd Ste 1300
Madison, AL 35758-2222
Phone (256) 830-1776
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.