Individual provider Active NPI

Sergey P Litvinov, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1669633129
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME101966 Issued in FL
Practice address
2215 N Military TRL Ste B
West Palm Beach, FL 33409-2901
Phone
(561) 932-4665
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME101966 FL Primary

Addresses

Primary practice location

2215 N Military TRL Ste B
West Palm Beach, FL 33409-2901

Mailing address

521 Leslie Dr
Hallandale Beach, FL 33009-2901
Phone (954) 362-7570

Other practice location 1

2100 E Hallandale Beach Blvd
Suite 306A
Hallandale Beach, FL 33009-3765
Phone (954) 362-7570

Other practice location 2

2215 N Military Trl Ste C
West Palm Beach, FL 33409-2901
Phone (561) 932-4665

Other identifiers 2

IdentifierTypeStateIssuer
000445300MedicaidFL
BK050ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090303000656 FL Practitioner - PsychiatryPractitioner - Neurology 3870659600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

521 Leslie Dr
Hallandale Beach, FL 33009-2901
Phone (954) 362-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Serge Litvinov MD PA CurrentSince Mar 28, 2010 Accepting new patients
Superior Medical Clinics LLC Psychiatry CurrentSince Jan 28, 2022 Accepting new patients
Serenity Hills Medical and Wellness Center PastSince Aug 25, 2019 Accepting new patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients
Serenity Hills Medical & Wellness Center LLC PastSince Jul 21, 2024 Accepting new patients
Angel Wings Home Care, LLC PastSince May 16, 2021 Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 306A
Hallandale Beach, FL 33009
Phone (516) 729-0502

9780 N 56th St
Temple Terrace, FL 33617
Phone (813) 368-4873

9780 N 56th St
Ste C
Temple Terrace, FL 33617
Phone (813) 549-7465

Interoperability endpoints

  • Direct secure messaging: sergey.litvinov@hca4.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1669633129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LESLIE DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092901",
            "telephone_number": "954-362-7570",
            "fax_number": "954-362-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N MILITARY TRL STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092901",
            "telephone_number": "561-932-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Hallandale Beach Blvd",
            "address_2": "Suite 306A",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330093765",
            "country_code": "US",
            "telephone_number": "954-362-7570",
            "fax_number": "954-362-7559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 N Military Trl Ste C",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334092901",
            "country_code": "US",
            "telephone_number": "561-932-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITVINOV",
        "first_name": "SERGEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME101966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000445300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BK050Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.