NPIMap

Individual provider Active NPI

Sergey Sorin, M.D.

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1962484121
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229335 Issued in NY
Practice address
2840 E Chestnut Expy
Springfield, MO 65802-2559
Phone
(845) 754-7718
Fax
(845) 703-6264
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD449292 PA
Family Medicine Physician 207Q00000X 229335 NY Primary

Addresses

Primary practice location

2840 E Chestnut Expy
Springfield, MO 65802-2559

Mailing address

148 Walnut Hill LN
Ozark, MO 65721-4227
Phone (417) 351-5221

Other identifiers 1

IdentifierTypeStateIssuer
02614639MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018001880 MO Practitioner - Family PracticePractitioner - Emergency Medicine 1254383987 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Concepts Clinic LLCGroup PAC ID 1951712470, 2 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

1200 E Woodhurst Dr
Suite M100
Springfield, MO 65804-4260
Phone (417) 877-1300

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

946 E Reed St
Hayti, MO 63851-1243
Phone (573) 359-3659

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449292PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemiscot County Memorial Hospital Current Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Sep 17, 2016 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Iron County Hospital District CurrentSince Jan 21, 2017 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Apr 12, 2018 Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine Current Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine CurrentSince Apr 12, 2018 Accepting new patients
Wellness Concepts Clinic LLC CurrentSince Jan 31, 2023 Accepting new patients
Iron County Hospital District CurrentSince Jan 21, 2017 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine Past Accepting new patients
Exigence Medical of Hornell, PLLC Emergency Medicine Past Accepting new patients
Nes Medical Services of New York PC Emergency Medicine PastSince May 22, 2022 Accepting new patients
Delphi Hospitalist Services LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

1200 E Woodhurst Dr
Ste M100
Springfield, MO 65804
Phone (417) 877-1300

Interoperability endpoints

  • Direct secure messaging: sergey.sorin.1@16878.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1962484121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WALNUT HILL LN",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657214227",
            "telephone_number": "417-351-5221",
            "fax_number": "845-703-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022559",
            "telephone_number": "845-754-7718",
            "fax_number": "845-703-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIN",
        "first_name": "SERGEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD449292",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02614639",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.