Individual provider Active NPI

Yevgeniy Vladimirovich Sychev, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Minneapolis, MN
National Provider Identifier
1609166768
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
63502 Issued in MN
Practice address
710 E 24TH St Ste 304
Minneapolis, MN 55404-3846
Phone
(800) 233-8504
Fax
(952) 460-5274
NPI assigned
Apr 11, 2011
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 63502 MN
Retina Specialist (Ophthalmology) Physician 207WX0107X 63502 MN Primary

Addresses

Primary practice location

710 E 24TH St Ste 304
Minneapolis, MN 55404-3846

Mailing address

3601 W 76TH St
Ste 300
Edina, MN 55435-3004
Phone (952) 929-1131

Other identifiers 1

IdentifierTypeStateIssuer
1609166768MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ysychev@retinadocs.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160817000344 MO Practitioner - Ophthalmology 2365763570 Reassigns benefits to 1 organization
I20180808002268 MN Practitioner - Ophthalmology 2365763570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2016 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2019 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2019 Accepting new patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2016 Accepting new patients

Locations

3601 W 76th St
Fl 3
Edina, MN 55435

2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

5615 Pershing Ave
Ste 27
Saint Louis, MO 63112
Phone (314) 367-7077

660 S Euclid Ave
Saint Louis, MO 63110

Interoperability endpoints

  • Direct secure messaging: ysychev@retinadocs.intellechartdirect.net
  • Direct secure messaging: ysychev@vrssurgery.intellechartdirect.net

Organizations & group practices 6

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1609166768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST",
            "address_2": "STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353004",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST STE 304",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043846",
            "telephone_number": "800-233-8504",
            "fax_number": "952-460-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYCHEV",
        "first_name": "YEVGENIY",
        "middle_name": "VLADIMIROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "63502",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "63502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609166768",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ysychev@retinadocs.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Secure email to EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD/CCDA",
            "address_1": "710 E 24th St Ste 304",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554043846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.