Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SEONGPAN SI M.D.
NPI 1164422838
Obstetrics & Gynecology in Brooklyn, NY

Active since July 26, 2005PECOS EnrolledCLIA 33D1095218 · Waiver
5517 7TH AVE, BROOKLYN, NY 11220(718) 436-3023(718) 436-3023 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seongpan Si M.d. NPPES

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

DR. SEONGPAN SI M.D. (NPI 1164422838) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (234283) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 3, 2027, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1164422838
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SEONGPAN SICredential: M.D.
Location Address5517 7TH AVEBrooklyn, NY 11220-3519
Mailing Address247 Bay 23rd StBrooklyn, NY 11214-6108 · (718) 449-4966 · Fax (718) 436-3023
Fax(718) 436-3023
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1164422838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 234283
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5517 7TH AVE, Brooklyn, NY 11220

Other Identifiers 1

Medicaid02607587NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Seongpan Si M.d. 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 ID143279257
PECOS Enrollment IDI20050115000022
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1095218

Seongpan Physician PC · Brooklyn, NY
Active · expires Feb 3, 2027
CLIA Number33D1095218
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorSeongpan Si, MD
Laboratory Phone(718) 436-3023
Laboratory LocationSeongpan Physician PC758 56th Street, 1F, Brooklyn, NY 11220
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 8

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

Nurse Practitioner (Adult Health)
5517 7TH AVE
BROOKLYN, NY 11220
Nurse Practitioner (Adult Health)
5517 7TH AVE
BROOKLYN, NY 11220
Internal Medicine
5517 7TH AVE, 1F
BROOKLYN, NY 11220
Nurse Practitioner (Family)
5517 7TH AVE
BROOKLYN, NY 11220
Nurse Practitioner (Adult Health)
5517 7TH AVE, #1
BROOKLYN, NY 11220
Internal Medicine
5517 7TH AVE
BROOKLYN, NY 11220
Internal Medicine
5517 7TH AVE, 1F
BROOKLYN, NY 11220
Physician Assistant
5517 7TH AVE
BROOKLYN, NY 11220

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 Seongpan Si's NPI number?

The NPI number for Seongpan Si is 1164422838. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Seongpan Si located?

Seongpan Si practices at 5517 7th Ave, Brooklyn, NY 11220. The listed phone number is (718) 436-3023.

What is Seongpan Si's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Seongpan Si enrolled in Medicare?

Yes. Seongpan Si 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.

Does Seongpan Si hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1095218) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seongpan Si was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.