Active NPI
Sergiy Kushchayev, MD PHD
- Diagnostic Radiology Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME140132
- Practice address
- 17329 Ladera Estates Blvd
Lutz, FL 33548-4817 - Phone
- (813) 745-7365
- Fax
- (813) 449-8618
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME140132 | FL | Primary |
Addresses
Primary practice location
17329 Ladera Estates Blvd
Lutz, FL 33548-4817
Mailing address
PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-7365
Other practice location 1
12902 Usf Magnolia Dr Fl 33612
Tampa, FL 33612-9416
Phone (813) 745-1573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669810271 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375
17329 Ladera Estates Blvd
Lutz, FL 33548-4817
Phone (860) 289-3375
399 Farmington Ave
Suite 130
Farmington, CT 06032-1944
Phone (860) 289-3375
6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848
85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375
Hospital & facility affiliations
- Hartford Hospital
- Manchester Memorial Hospital
- Griffin Hospital
- Day Kimball Hospital
- Middlesex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88 of 100
- Quality
- 74.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Farmington Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Partners Imaging Center of Sarasota LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Past | Accepting new patients |
| Partners Imaging Center of Bradenton | Past | Accepting new patients |
Locations
100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380
399 Farmington Ave
Lowr 1
Farmington, CT 06032
399 Farmington Ave
Ste 130
Farmington, CT 06032
85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589
6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847
1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844
5101 4th Avenue Cir E
Ste 100
Bradenton, FL 34208
Phone (941) 782-0414
1250 S Tamiami Trl
Ste 101
Sarasota, FL 34239
Phone (941) 951-2100
1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-jefferson
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Sarasota, FL
- NPI 1548205271
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Radiology Clinic/Center
- Bradenton, FL
- NPI 1033432166
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1669810271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198441",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848441",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17329 LADERA ESTATES BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335484817",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618"
}
],
"practiceLocations": [
{
"address_1": "12902 Usf Magnolia Dr Fl 33612",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336129416",
"country_code": "US",
"telephone_number": "813-745-1573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHCHAYEV",
"first_name": "SERGIY",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME140132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669810271",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12902 Usf Magnolia Dr Fl 33612",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336129416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.