DR. KIRILL SERGEYEVICH SHISHLOV M.D., MPH
NPI 1114248077
Emergency Medicine in New York, NY
About Dr. Kirill Sergeyevich Shishlov M.d., Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIRILL SERGEYEVICH SHISHLOV M.D., MPH (NPI 1114248077) is an individual emergency medicine provider in New York, New York, licensed in California (138003) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kirill Sergeyevich Shishlov M.d., Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kirill Shishlov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 526 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
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 Kirill Shishlov's NPI number?
The NPI number for Kirill Shishlov is 1114248077. It was assigned to this individual provider in the NPPES registry on June 15, 2010.
Where is Kirill Shishlov located?
Kirill Shishlov practices at 1000 10th Ave Emergency Department, New York, NY 10019. The listed phone number is (212) 523-3330.
What is Kirill Shishlov's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kirill Shishlov enrolled in Medicare?
Yes. Kirill Shishlov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kirill Shishlov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirill Shishlov reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Encinitas, CA), Regents Of The University Of California (San Diego, CA) and Team Physicians Of Northern California Medical Group Inc (Pleasanton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirill Shishlov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kirill Shishlov was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Dr. Kirill Sergeyevich Shishlov, M.D., MPH · NPI 1114248077
Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 15, 2010.
## Identity
- **NPI:** 1114248077 (Entity type: Individual)
- **Enumerated:** June 15, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 138003 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 10TH AVE, EMERGENCY DEPARTMENT, New York, NY 10019-1147
- **Phone:** (212) 523-3330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1952637050, Encinitas, CA); Regents Of The University Of California (NPI 1003934803, San Diego, CA); Team Physicians Of Northern California Medical Group Inc (NPI 1649692716, Pleasanton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** September 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1114248077) · Data from the CMS NPPES public registry.