Sergey Shimunov

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R3214 Issued in TX

Practice address

2204E Joe Battle Blvd
El Paso, TX 79938-4659

Phone

(915) 271-4570

Fax

(915) 351-0076

NPI assigned

Mar 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
• The Hospitals of Providence Transmountain Campus Hospital, El Paso, TX, CCN 670120
• The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sergey.shimunov.1@1438.direct.athenahealth.com

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.

• BHS Physicians Network, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1538522412
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation
• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1780959874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204E JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384659",
            "telephone_number": "915-271-4570",
            "fax_number": "915-351-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204E JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384659",
            "telephone_number": "915-271-4570",
            "fax_number": "915-351-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNOV",
        "first_name": "SERGEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmashri Shetty
• Genesis Shevis
• Ted Shi, MD
• Shield of Grace HHC, LLC
• Ferial Darwish Shihadeh, MD
• Korrey Shin
• Colton Richard Shinaut, DPT
• Patricia Shingledecker
• Carmen Shipp, PTA
• Shirley Ann Mata Adami

• Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.

Verify at the official NPI Registry.