Individual provider Active NPI

Igor Sergeyev, M.D.

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1780631804
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
228019 Issued in NY
Practice address
9101 4TH Ave Ste 3
Brooklyn, NY 11209-6369
Phone
(718) 680-0265
Fax
(718) 680-0036
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 228019 NY Primary

Addresses

Primary practice location

9101 4TH Ave Ste 3
Brooklyn, NY 11209-6369

Mailing address

9101 4TH Ave Ste 3
Brooklyn, NY 11209-6369
Phone (718) 680-0265

Other identifiers 2

IdentifierTypeStateIssuer
228019-1OtherNYNY STATE LICENSE NUMBER
02760272MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060705000245 NY Practitioner - Urology 9335151612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Igor Sergeyev MD PCGroup PAC ID 5890919914, 2 clinicians

Practice addresses (Care Compare)

9101 4TH Ave
Suite 3
Brooklyn, NY 11209-6369
Phone (718) 680-0265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Igor Sergeyev, M.D., P.C. Urology CurrentSince Nov 18, 2013 Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients

Locations

9101 4th Ave
Ste 2F
Brooklyn, NY 11209
Phone (718) 680-0265

9101 4th Ave
Ste 3
Brooklyn, NY 11209
Phone (718) 680-0265

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: igs9011@direct.nyp.org
  • Direct secure messaging: igorsergeyev@mai.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1780631804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 4TH AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096369",
            "telephone_number": "718-680-0265",
            "fax_number": "718-680-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 4TH AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096369",
            "telephone_number": "718-680-0265",
            "fax_number": "718-680-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGEYEV",
        "first_name": "IGOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "228019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "228019-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760272",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.