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SERGEY OSTROVSKIY
NPI 1174022982
Counselor - Mental Health in Cleveland, OH

Active since February 07, 2018PECOS Enrolled
5162 BROADWAY AVE, CLEVELAND, OH 44127(216) 938-6829 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sergey Ostrovskiy NPPES

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

SERGEY OSTROVSKIY (NPI 1174022982) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (S.1700100) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174022982
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSERGEY OSTROVSKIY
Location Address5162 BROADWAY AVECleveland, OH 44127-1571
Mailing Address5162 Broadway AveCleveland, OH 44127-1571 · (216) 938-6829
Phone(216) 938-6829
Sole ProprietorYes
Enumeration DateFebruary 7, 2018
✔ NPI 1174022982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · S.1700100
5162 BROADWAY AVE, Cleveland, OH 44127
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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 (PECOS)

Sergey Ostrovskiy 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.

Medicare Billing Reassignment

Medicare enrollment records show Sergey Ostrovskiy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc.
4.3 mi
Mental Health
5410 TRANSPORTATION BLVD, UNIT 4
Garfield Heights, OH 44125
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1679767289 (216) 663-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

JULIETTE PHILPOT
Case Manager/Care Coordinator
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829
PHYLLIS HARRISON
Case Manager/Care Coordinator
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829
CHRISTINE LYNN SEEDHOUSE LSW
Counselor (Addiction (Substance Use Disorder))
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829
MELISSA SUE REYES
Counselor (Addiction (Substance Use Disorder))
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 441-0200
EMANUEL JEROME DEADWYLER
Case Manager/Care Coordinator
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829
AARON PATRICK MELTON
Counselor
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829
EMANUEL CLIFFORD WILLIAMS
Social Worker
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6826
REILLY CLARE GALLAGHER
Counselor (Addiction (Substance Use Disorder))
5162 BROADWAY AVE
CLEVELAND, OH 44127
Cuyahoga County (216) 938-6829

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 Sergey Ostrovskiy's NPI number?

The NPI number for Sergey Ostrovskiy is 1174022982. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Sergey Ostrovskiy located?

Sergey Ostrovskiy practices at 5162 Broadway Ave, Cleveland, OH 44127. The listed phone number is (216) 938-6829.

What is Sergey Ostrovskiy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sergey Ostrovskiy enrolled in Medicare?

Yes. Sergey Ostrovskiy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sergey Ostrovskiy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergey Ostrovskiy reassigns Medicare benefits to Signature Health, Inc. (Garfield Heights, OH). The 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 Sergey Ostrovskiy'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 Sergey Ostrovskiy was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.