Sergey Petrov, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME135676 Issued in FL

Practice address

5901 Colonial Dr Ste 301
Margate, FL 33063-5683

Phone

(954) 935-1477

Fax

(954) 935-1422

NPI assigned

Jun 30, 2005

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sergey.petrov@wellmed.eclinicaldirectplus.com

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.

• Optumcare Florida LLC

  dba Optum

  • General Practice Physician
  • Tampa, FL
  • NPI 1053384214

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Optumcare Florida, LLC

  dba Optum

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1659884294
  NPD
• Senior Care Medical Ctr

  dba Coral Gate Medical Group

  • Internal Medicine Physician
  • Margate, FL
  • NPI 1992737837
  NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)
• Ave P Medical PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1689958001
  NPD (past)
• Total Anesthesia Provider , PC

  • Specialist
  • Great Neck, NY
  • NPI 1881001485
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  dba Broward Health Coral Springs

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1497752901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR STE 301",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635683",
            "telephone_number": "954-935-1477",
            "fax_number": "954-935-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR STE 301",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635683",
            "telephone_number": "954-935-1477",
            "fax_number": "954-935-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROV",
        "first_name": "SERGEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135676",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarang Madhusudhan Perumal, MD
• Peter H. Gach, MD, PA
• Yvon Petiote, M.D.
• Gustane Petit-Allonce
• Marie Monique Petit-Desmangles
• Naika Phanor
• Sunny Philip, MSW, LCSW
• Phoenix Health Solutions, LLC
• Physical Medicine of South Florida
• Physician Preferred Pharmacy Special P/E

• Internal Medicine Physician in Margate, FL
• Providers in Margate, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.

Verify at the official NPI Registry.