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SERGEY PROKHOROV MD
NPI 1366419962
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Rego Park, NY

Active since March 02, 2006PECOS Enrolled
9817 QUEENS BOULEVARD, LL2, REGO PARK, NY 11374(718) 275-5600(718) 275-5608 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sergey Prokhorov Md NPPES

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

SERGEY PROKHOROV MD (NPI 1366419962) is an individual neurology with special qualifications in child neurology provider in Rego Park, New York, licensed in New York (231008) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366419962
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameSERGEY PROKHOROVCredential: MD
Location Address9817 QUEENS BOULEVARD, LL2Rego Park, NY 11374-3336
Mailing Address9817 Queens Boulevard, Ll2Rego Park, NY 11374-3336 · (718) 275-5600 · Fax (718) 275-5608
Phone(718) 275-5600
Fax(718) 275-5608
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateJune 10, 2011
✔ NPI 1366419962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 231008
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
9817 QUEENS BOULEVARD, Rego Park, NY 11374
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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 Prokhorov Md 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 Reassignments

3

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

Prokhorov's Pediatrics And Child Neurology PC
Same address
Pediatrics
9817 QUEENS BLVD, LL2
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1104132778 (718) 275-5600
Downtown Bronx Medical Associates PC
7.1 mi
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200
Harlem Medical Associates PC
7.3 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES

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

SVETLANA PROKHOROVA M.D.
Pediatrics
9817 QUEENS BOULEVARD, LL2
REGO PARK, NY 11374
Queens County (718) 275-5600

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 Prokhorov's NPI number?

The NPI number for Sergey Prokhorov is 1366419962. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Sergey Prokhorov located?

Sergey Prokhorov practices at 9817 Queens Boulevard Ll2, Rego Park, NY 11374. The listed phone number is (718) 275-5600.

What is Sergey Prokhorov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Sergey Prokhorov enrolled in Medicare?

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

Which organizations bill Medicare for Sergey Prokhorov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergey Prokhorov reassigns Medicare benefits to 3 organizations: Prokhorov's Pediatrics And Child Neurology PC (Rego Park, NY), Downtown Bronx Medical Associates PC (Bronx, NY) and Harlem Medical Associates PC (New York, 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 Prokhorov'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 Prokhorov was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.