Stanislav V Byshenko, MD

Individual provider Active NPI Internal Medicine Physician · Sharon, PA

NPI 1891088415 · NPPES record last updated Aug 14, 2025

Key facts

NPI
1891088415
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD446235 (PA)
Practice address
92 W Connelly Blvd
Sharon, PA 16146-1754
Phone
(724) 347-5529
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
Yes

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 4

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharon Community Health Center (5 clinicians)
Primary Care Services (32 clinicians)

Practice addresses (Care Compare)

90 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-2429

901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711

92 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-5529

94 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-3063

Hospital & facility affiliations

  • Amedisys Home Health Home health agency · Butler, PA · CCN 398146
  • Upmc Horizon Hospital · Greenville, PA · CCN 390178
  • Meadville Medical Center Hospital · Meadville, PA · CCN 390113

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120828000406 PA Practitioner - Internal Medicine 7113174061 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Services Internal Medicine Current
since Oct 1, 2025
Accepting new patients
Sharon Community Health Center Current
since Aug 13, 2012
Accepting new patients
Meadville Physician Services Internal Medicine Past Accepting new patients

Locations

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

2425 Garden Way
Ste 102
Hermitage, PA 16148
Phone (724) 347-0700

901 Water St
Meadville, PA 16335
Phone (814) 333-5711

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

92 W Connelly Blvd
Sharon, PA 16146
Phone (724) 347-5529

94 W Connelly Blvd
Sharon, PA 16146
Phone (724) 347-2429

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD446235 PA Yes

Addresses

Primary practice location

92 W Connelly Blvd
Sharon, PA 16146-1754

Mailing address

92 W Connelly Blvd
Sharon, PA 16146-1754
Phone (724) 347-5529

Other practice location 1

2425 Garden Way
Hermitage, PA 16148-5215
Phone (724) 981-1777

Other practice location 2

901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2025.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1891088415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W CONNELLY BLVD",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461754",
            "telephone_number": "724-347-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W CONNELLY BLVD",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461754",
            "telephone_number": "724-347-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Garden Way",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161485215",
            "country_code": "US",
            "telephone_number": "724-981-1777",
            "fax_number": "724-342-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Water St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353434",
            "country_code": "US",
            "telephone_number": "814-333-5711",
            "fax_number": "814-333-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYSHENKO",
        "first_name": "STANISLAV",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

All providers in Sharon, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.