Individual provider Active NPI

Pavel Nikolayevich Sergeyev, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1437125077
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME88982 Issued in FL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME88982 FL Primary

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 FL, ME, MT3 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
I20040724000100 FL Practitioner - Diagnostic Radiology 1254226996 Reassigns benefits to 5 organizations
I20190523001161 ME Practitioner - Diagnostic Radiology 1254226996 Reassigns benefits to 2 organizations
I20240614001403 MT Practitioner - Diagnostic Radiology 1254226996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Partners of Florida LLCGroup PAC ID 8224554027, 17 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601

425 N Ocean Blvd
Apt 4
Boca Raton, FL 33432-4203
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Northern Montana Hospital Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Nov 11, 2016 Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Palms West Imaging Inc Diagnostic Radiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Palm Beach Radiology Professionals, PA Diagnostic Radiology Past Accepting new patients
West Boynton Beach Open Imaging Center LLC Diagnostic Radiology Past Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

30 13th St
Havre, MT 59501
Phone (406) 262-1302

2570 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 677-7200

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

1813 W Harvard Ave
Ste 411
Roseburg, OR 97471
Phone (541) 677-4418

2460 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 229-2663

249 Dakota St
Sutherlin, OR 97479
Phone (541) 529-4711

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 6

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1437125077",
    "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": "SERGEYEV",
        "first_name": "PAVEL",
        "middle_name": "NIKOLAYEVICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME88982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.