SERGEY VLADLENOVICH VERETENNIKOV
NPI 1134640899
Family Medicine in Sacramento, CA

Q: What is Sergey Veretennikov's NPI number?

The NPI number for Sergey Veretennikov is 1134640899. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Q: What is Sergey Veretennikov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment

7248 S LAND PARK DR STE 205, SACRAMENTO, CA 95831(916) 371-4939(916) 392-2722 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2022, Jul 23, 2019, Jul 3, 2017 (3 updates tracked since 2017).

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About Sergey Vladlenovich Veretennikov NPPES

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

SERGEY VLADLENOVICH VERETENNIKOV (NPI 1134640899) is an individual family medicine provider in Sacramento, California, licensed in California (A180890) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134640899

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSERGEY VLADLENOVICH VERETENNIKOV

Location Address7248 S LAND PARK DR STE 205Sacramento, CA 95831-3661

Mailing Address7248 S Land Park Dr Ste 205Sacramento, CA 95831-3661 · (916) 371-4939 · Fax (916) 392-2722

Phone(916) 371-4939

Fax(916) 392-2722

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 3, 2017

Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration

NPPES CertifiedOctober 27, 2022

✔ NPI 1134640899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A180890

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7248 S LAND PARK DR STE 205, Sacramento, CA 95831

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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

Sergey Vladlenovich Veretennikov 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.

PECOS PAC ID941687966

PECOS Enrollment IDI20220614001725

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.

Medicare Billing Reassignments

Medicare enrollment records show Sergey Veretennikov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garcia Lee And Concepcion Medical Group Inc

0.1 mi

Family Medicine

7248 S LAND PARK DR, SUITE 205
Sacramento, CA 95831

Reassigned Medicare billing, California enrollment
20 clinicians in this Medicare group

NPI 1417020579 (916) 392-4000

Chw Medical Foundation

5.6 mi

Multi-Specialty

7500 HOSPITAL DR
Sacramento, CA 95823

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Dignity Health Medical Foundation
1,191 clinicians in this Medicare group

NPI 1114958139 (916) 423-6176

Sutter Valley Medical Foundation

8.4 mi

Multi-Specialty

2700 GATEWAY OAKS DR
Sacramento, CA 95833

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1952327256 (800) 470-0071

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

189 services98 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

50 services50 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

38 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services34 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95831 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA MICHELLE CORDERO

Physician Assistant