Sergey Shkurovich, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A104502 Issued in CA

Practice address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Phone

(952) 595-1301

Fax

(612) 294-4903

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX, WA, AK, IL, MI, ND, MN8 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 8

Specialty

Diagnostic Radiology

Education

New York Medical College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians

Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Image Guided Therapeutics IncGroup PAC ID 6608874896, 16 clinicians

Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians

Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians

Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians

Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
• Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 121)

Locations (25 of 40)

Interoperability endpoints

• Direct secure messaging: ses9060@direct.weillcornell.org
• Direct secure messaging: sshkurovich445710@direct-ucsfmedicalcenter.org
• Direct secure messaging: sshkuorvich56932@cityofhope.direct-ci.com
• Direct secure messaging: casacolina@direct.casacolina.org

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.

• Virtual Radiologic Professionals of California, P.a

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1881792166

  CA

  Medicare reassignment Care Compare group NPD
• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Owings Mills, MD
  • NPI 1932167178

  CA

  Medicare reassignment Care Compare group NPD
• Advanced Radiology, S.C.

  • Diagnostic Radiology Physician
  • Rock Island, IL
  • NPI 1790773539

  CA

  Medicare reassignment Care Compare group NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  CA

  Medicare reassignment Care Compare group NPD
• Image Guided Therapeutics, Inc.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1316968910
  Medicare reassignment Care Compare group NPD
• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221

  CA

  Medicare reassignment Care Compare group NPD
• Palm Desert Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Rancho Mirage, CA
  • NPI 1124079868
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Burlington County P a

  • Diagnostic Radiology Physician
  • Mount Holly, NJ
  • NPI 1255385183

  CA

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Muncie, Inc.

  • Diagnostic Radiology Physician
  • Seymour, IN
  • NPI 1306883251

  CA

  Medicare reassignment Care Compare group NPD
• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment Care Compare group NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931
  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  CA

  Medicare reassignment Care Compare group NPD

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

• Aurelia Osborn Fox Memorial Hospital Society

  • General Acute Care Hospital
  • Oneonta, NY
  • NPI 1578529954
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1568646735
  Care Compare affiliation
• Mary Imogene Bassett Hospital

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1902070519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKUROVICH",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "245863",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A104502",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD456490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Anthony Shibley, M.D.
• Jordan Shilts
• Tahani Shire
• Michael A Shirilla, DPT
• Elaine Marie Shirley, NP
• Paul J Shlafer, O.D.
• Jamie Sarah Shores, DPT
• Michelle Shorten
• Fatxi Abdi Shukri
• John Charles Shultz, PA-C

• Diagnostic Radiology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.