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SERGIU STEFANESCU MD
NPI 1215919261
Internal Medicine in Albuquerque, NM

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST, ALBUQUERQUE, NM 87106(505) 724-6124(505) 724-6125 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sergiu Stefanescu Md NPPES

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

SERGIU STEFANESCU MD (NPI 1215919261) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2015-0605) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1215919261
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSERGIU STEFANESCUCredential: MD
Location Address1100 CENTRAL AVE SE FL 4, PMG HOSPITALISTAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 724-6124
Fax(505) 724-6125
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1215919261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NM · MD2015-0605✔ Licensed in IN · 01082186A✔ Licensed in NC · 200301178
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 CENTRAL AVE SE FL 4, Albuquerque, NM 87106
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Secondary Practice Location 1

Location 12001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-2345

Other Identifiers 8

Other7985633Aetna
Medicaid2006408000WV
Other803703Partners
Medicaid10038847VA
Medicaid89135E9NC
OtherC9670Medcost
OtherP00107272Rr Medicare
Other135E9Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Sergiu Stefanescu Md 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 ID2860527488
PECOS Enrollment IDI20191004001312
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.

Areas of Expertise CMS Part B claims 7

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
732 services287 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
82 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services76 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
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.
15 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$890.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PAYAL URVIJ MODHIA M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
JAY TSENG M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
DR. PRADEEP MITTA MD
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
SIKANDER SURANA M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
DR. PRAJIT ARORA M.D
Internal Medicine (Nephrology)
1100 CENTRAL AVE SE FL 4
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
SUSANNA MARIE GONZALES MD
Internal Medicine (Critical Care Medicine)
1100 CENTRAL AVE SE FL 4, PMG INTENSIVISTS
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6145

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 Sergiu Stefanescu's NPI number?

The NPI number for Sergiu Stefanescu is 1215919261. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Sergiu Stefanescu located?

Sergiu Stefanescu practices at 1100 Central Ave SE Fl 4 Pmg Hospitalist, Albuquerque, NM 87106. The listed phone number is (505) 724-6124.

What is Sergiu Stefanescu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sergiu Stefanescu enrolled in Medicare?

Yes. Sergiu Stefanescu 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.

What insurance does Sergiu Stefanescu accept?

Health plans from CareSource list Sergiu Stefanescu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sergiu Stefanescu affiliated with any hospitals?

According to CMS data, Sergiu Stefanescu is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital and Franciscan Health Lafayette.

When was this NPI record last updated?

The NPPES record for Sergiu Stefanescu was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.