Sergej Naumovich Konoplev, M.D.,PHD
Individual provider Active NPI Clinical Pathology/Laboratory Medicine Physician · West Harrison, NY
NPI 1912930231 · NPPES record last updated May 6, 2023
Key facts
- NPI
- 1912930231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
- License
- 41384 (TX)
- Practice address
- 244 Westchester Ave Ste 400
West Harrison, NY 10604-2909 - Phone
- (914) 339-5000
- Fax
- (914) 468-6172
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Pathology Group
Memorial Hematology Lymphoma Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.67 of 100
- Quality
- 70
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.57 of 100
- Quality
- 70.48
- Improvement activities
- 40
- Cost
- 69.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231110000882 | NY | Practitioner - Pathology | 4587669403 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41384 | TX | MD | Pharmacist |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Pathology Group | Current |
Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients | |
| Cairo Diagnostics,LLC | Current |
Accepting new patients |
Locations
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
244 Westchester Ave
Ste 400
White Plains, NY 10604
Phone (914) 339-5000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 41384 | TX | Yes |
Addresses
Primary practice location
244 Westchester Ave Ste 400
West Harrison, NY 10604-2909
Mailing address
244 Westchester Ave Ste 400
West Harrison, NY 10604-2909
Phone (914) 339-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U7583 | Other | TX | BCBS |
| P00347948 | Other | TX | RR MEDICARE |
| 182324701 | Medicaid | TX |
Other providers in West Harrison, NY
- Lucila Patricia Kaufman
- Asma Khan
- Kayla Kilkenny
- Alex Hyundong Kim
- Heeyeon Kim
- Tarek Korban
- Mimi Anne Kulinski
- Lara Back
- Jessica Larroy
- Chung-Han Lee
All providers in West Harrison, NY · Clinical Pathology/Laboratory Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.