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SERGEY KRUPOCHKIN MD
NPI 1174198303
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since May 20, 2021PECOS Enrolled
1700 COFFEE RD, MODESTO, CA 95355(209) 569-7493 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, May 17, 2026, Mar 25, 2026 and 2 more (5 updates tracked since 2021).

About Sergey Krupochkin Md NPPES

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

SERGEY KRUPOCHKIN MD (NPI 1174198303) is an individual student in an organized health care education/training program in Modesto, California, licensed in California (PTL20744) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174198303
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGEY KRUPOCHKINCredential: MD
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing Address1700 Coffee RdModesto, CA 95355-2803 · (209) 569-7493
Phone(209) 569-7493
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 20, 2021
Last NPPES UpdateAugust 21, 20265 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1174198303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · PTL20744
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered NurseTaxonomy 163W00000X · License 746535 (NY)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 310323 (NY)
1700 COFFEE RD, Modesto, CA 95355
Open in Google Maps ↗

Secondary Practice Location 1

Location 1432 E 149th StBronx, NY 10455-1343 · Phone (718) 618-7522

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergey Krupochkin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658779186
PECOS Enrollment IDI20211013001695
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

3

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

Essen Medical Urgicare, PLLC
2,503 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736
Essen Medical Associates, PC
2,503 mi
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1366418709 (718) 583-7736
Bhaskar R. Yeturu Physician PC
2,507 mi
Internal Medicine
8712 58TH AVE
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1265706196 (718) 426-4800

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
737 services85 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
45 services30 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.
20 services20 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
14 services12 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
12 services11 patients

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.

ERIC CHAU-YONG KU MD
Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7237
DR. STEPHANIE TOVAR PHARMD
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
MOHSEN MERATI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
MS. FANTINE WARDA NP
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
KHALID AL ZUBAIDI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
ZOHAL RAHIMI
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095
TRACY IRIS GASTELUM AGACNP-BC
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
DR. SARAI STERN COUTIN MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095

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 Krupochkin's NPI number?

The NPI number for Sergey Krupochkin is 1174198303. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Sergey Krupochkin located?

Sergey Krupochkin practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 569-7493.

What is Sergey Krupochkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sergey Krupochkin enrolled in Medicare?

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

Which organizations bill Medicare for Sergey Krupochkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergey Krupochkin reassigns Medicare benefits to 3 organizations: Essen Medical Urgicare, PLLC (Bronx, NY), Essen Medical Associates, PC (Bronx, NY) and Bhaskar R. Yeturu Physician PC (Elmhurst, NY). 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 Sergey Krupochkin'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 Krupochkin was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.