Individual provider Active NPI

Semjon Tsyrlin, MD

  • Hospitalist Physician
  • Mayaguez, PR
National Provider Identifier
1699297788
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M-2445 Issued in GU
Practice address
15 Calle Jose de Diego
Hospital Perea
Mayaguez, PR 00680
Phone
(787) 834-0101
NPI assigned
Jul 11, 2017
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19722 PR
General Practice Physician 208D00000X 84308 GA
Hospitalist Physician 208M00000X M-2445 GU Primary

Addresses

Primary practice location

15 Calle Jose de Diego
Hospital Perea
Mayaguez, PR 00680

Mailing address

24-07 201St Street
Bayside, NY 11360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, GA, GU, MP4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180403000543 PR Practitioner - General Practice 2264794213 Practice locations: Juncos, PR
I20200116002288 GA Practitioner - Emergency Medicine 2264794213
I20240820001952 GU Practitioner - Hospitalist 2264794213 Reassigns benefits to 1 organization
I20260210004198 MP Practitioner - Family Practice 2264794213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Jul 29, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jan 9, 2026 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jan 9, 2026 Accepting new patients
Guam Healthcare Development Incorporated Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Organizations & group practices 5

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 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1699297788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-07 201ST STREET",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE JOSE DE DIEGO",
            "address_2": "HOSPITAL PEREA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSYRLIN",
        "first_name": "SEMJON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19722",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "84308",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "M-2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.