SERGUEI V KISHKURNO MD
NPI 1104056449
Pediatrics - Neonatal-Perinatal Medicine in Oak Lawn, IL

Q: What is Serguei Kishkurno's NPI number?

The NPI number for Serguei Kishkurno is 1104056449. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Q: What is Serguei Kishkurno's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Serguei Kishkurno was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2009PECOS Enrolled

4440 W 95TH ST # 250N, OAK LAWN, IL 60453(708) 684-5722 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Nov 20, 2023, Oct 9, 2023 and 1 more (4 updates tracked since 2021).

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About Serguei V Kishkurno Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGUEI V KISHKURNO MD (NPI 1104056449) is an individual neonatal-perinatal medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-125524) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104056449

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameSERGUEI V KISHKURNOCredential: MD

Location Address4440 W 95TH ST # 250NOak Lawn, IL 60453-2600

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 684-5722

Sole ProprietorYes

Enumeration DateJuly 21, 2009

Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1104056449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in IL · 036-125524✔ Licensed in IN · 01067835A✔ Licensed in NY · 244975

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 01067835A (IN)

4440 W 95TH ST # 250N, Oak Lawn, IL 60453

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Secondary Practice Locations 2

Location 112750 St Francis DrCrown Point, IN 46307-0264 · Phone (219) 757-6004 · Fax (219) 681-6871

Location 21201 S Main StCrown Point, IN 46307-8481 · Phone (219) 757-6004 · Fax (219) 681-6871

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serguei V Kishkurno Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serguei Kishkurno's NPI number?

The NPI number for Serguei Kishkurno is 1104056449. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Serguei Kishkurno located?

Serguei Kishkurno practices at 4440 W 95th St # 250N, Oak Lawn, IL 60453. The listed phone number is (708) 684-5722.

What is Serguei Kishkurno's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Serguei Kishkurno enrolled in Medicare?

Yes. Serguei Kishkurno is registered in the Medicare PECOS enrollment system.

What insurance does Serguei Kishkurno accept?

Health plans from CareSource list Serguei Kishkurno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serguei Kishkurno was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.