DR. SERGIO SOKOL M.D.,F.A.A.C.
NPI 1356398713
Internal Medicine - Cardiovascular Disease in Hewlett, NY

Active since May 30, 2006PECOS Enrolled
100/100
CMS Quality Rating
35 THIXTON DR, STE K, HEWLETT, NY 11557(917) 741-8599(516) 569-0188 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2022, Nov 6, 2020, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Sergio Sokol M.d.,f.a.a.c. NPPES

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

DR. SERGIO SOKOL M.D.,F.A.A.C. (NPI 1356398713) is an individual cardiovascular disease provider in Hewlett, New York, licensed in New York (205875) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1356398713
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SERGIO SOKOLCredential: M.D.,F.A.A.C.
Location Address35 THIXTON DR, STE KHewlett, NY 11557-2631
Mailing Address650 Central Ave, Ste KCedarhurst, NY 11516-2301 · (917) 741-8599 · Fax (516) 569-0188
Fax(516) 569-0188
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1356398713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 205875
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
35 THIXTON DR, Hewlett, NY 11557

Other Identifiers 7

Other4889089NY · Cigna
Other677P71NY · Empire Bcbs
Other010065003NY · Americhoice
Other7819289NY · Aetna Ppo
Other1169513NY · Aetna Hmo
OtherP3654963NY · Oxford
Other2589396NY · Ghi Ppo

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio Sokol M.d.,f.a.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42293714
PECOS Enrollment IDI20040611001375
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

10

Medicare enrollment records show Sergio Sokol reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
650 CENTRAL AVE, SUITE K
Cedarhurst, NY 11516
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Cardiovascular Disease
650 CENTRAL AVE, SUITE K
Cedarhurst, NY 11516
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Specialist
650 CENTRAL AVE STE M
Cedarhurst, NY 11516
  • Reassigned Medicare billing, New York enrollment
Multi-Specialty
1612 CENTRAL AVE
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • 125 clinicians in this Medicare group
Internal Medicine
11014 LIBERTY AVE FL 1
South Richmond Hill, NY 11419
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
2035 RALPH AVE
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Marvin S Becker MD PC
  • 8 clinicians in this Medicare group
Internal Medicine
2035 RALPH AVE, B2
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
Internal Medicine
2126 BROADWAY
Long Island City, NY 11106
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
350 WEST MAIN ST
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
Primary Care
240 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group

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 25

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.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
2,028 services507 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
988 services494 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
910 services669 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
717 services453 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
579 services576 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
522 services388 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11557 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low-Risk Surgery Patients
Lower rates are better for this measure.
0%1,875 patients
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients
Lower rates are better for this measure.
0%1,875 patients
Controlling High Blood Pressure
97%34 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%29 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%5,492 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%5,492 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sergio Sokol's NPI number?

The NPI number for Sergio Sokol is 1356398713. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Sergio Sokol located?

Sergio Sokol practices at 35 Thixton Dr Ste K, Hewlett, NY 11557. The listed phone number is (917) 741-8599.

What is Sergio Sokol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sergio Sokol enrolled in Medicare?

Yes. Sergio Sokol is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sergio Sokol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Sokol reassigns Medicare benefits to 10 organizations: Hewlett Cardiology Medical PC (Cedarhurst, NY), Five Towns Heart Imaging Medical P.C. (Cedarhurst, NY), Sergio Sokol M.D.,f.A.C.C.,p.C. (Cedarhurst, NY), Vantage Medical Associates PC (Far Rockaway, NY), Kamilla Ismailoff, MD, PC (South Richmond Hill, NY) and 5 more organizations, listed in the Medicare section above. 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 Sergio Sokol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Sokol accept?

Health plans from Oscar Insurance Company list Sergio Sokol 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.

When was this NPI record last updated?

The NPPES record for Sergio Sokol was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.