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MR. SERGIY SHAVARAN PA
NPI 1285724013
Physician Assistant in Bronx, NY

Active since October 13, 2006PECOS Enrolled
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET, BRONX, NY 10467(718) 920-2961 Get Directions Write a Review

NPPES record last updated: January 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Sergiy Shavaran Pa NPPES

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

MR. SERGIY SHAVARAN PA (NPI 1285724013) is an individual physician assistant in Bronx, New York, licensed in New York (010239) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285724013
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SERGIY SHAVARANCredential: PA
Location AddressMMC - DEPT. OF MEDICINE, 111 EAST 210TH STREETBronx, NY 10467
Mailing Address9833 64th Ave, Apt 3-gRego Park, NY 11374-2544 · (347) 416-2060
Phone(718) 920-2961
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 29, 2010
✔ NPI 1285724013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 010239
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

MMC - DEPT. OF MEDICINE, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sergiy Shavaran Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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 20

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

JOHN A HARDIN MD
Internal Medicine (Rheumatology)
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-8021
ANNA KITAYCHIK PA
Physician Assistant
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-2961
DR. PETER L ALPERT MD
Internal Medicine (Infectious Disease)
MMC - DEPT. OF MEDICINE, 3400 BAINBRIDGE AVENUE, 2ND FL
BRONX, NY 10467
Bronx County (718) 920-7364
GARY E KALKUT MD
Internal Medicine (Infectious Disease)
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-2809
ANDREW K KRUMERMAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-4776
WANDA HORN MD
Internal Medicine
MMC - DEPT. OF MEDICINE, 3400 BAINBRIDGE AVENUE
BRONX, NY 10467
Bronx County (718) 920-6721
SHIRLEY J FLETCHER-HALL PA
Physician Assistant
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-2869
DAVID J PREZANT MD
Internal Medicine (Pulmonary Disease)
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-6054

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 Sergiy Shavaran's NPI number?

The NPI number for Sergiy Shavaran is 1285724013. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Sergiy Shavaran located?

Sergiy Shavaran practices at Mmc - Dept. Of Medicine 111 East 210th Street, Bronx, NY 10467. The listed phone number is (718) 920-2961.

What is Sergiy Shavaran's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sergiy Shavaran enrolled in Medicare?

Yes. Sergiy Shavaran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergiy Shavaran was last updated on January 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.