Individual provider Active NPI

Sergey Ananyev, M.D.

  • Urology Physician
  • Decatur, AL
National Provider Identifier
1366645459
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
29207 Issued in AL
Practice address
1210 14TH Ave SE
Decatur, AL 35601
Phone
(256) 353-0605
NPI assigned
Jun 7, 2007
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 29207 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120625000576 AL Practitioner - Urology 4385809383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 7214961481, 5 clinicians

Practice addresses (Care Compare)

1210 14TH Ave SE
Decatur, AL 35601-4313
Phone (256) 353-0605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29207ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Urology and Robotics Center Urology CurrentSince Jul 30, 2012 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

  • Direct secure messaging: ananyev@alur.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1540

Organizations & group practices 2

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 3

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1366645459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014313",
            "telephone_number": "256-353-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-353-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Hughes Rd Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582222",
            "country_code": "US",
            "telephone_number": "256-830-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANYEV",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "29207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.