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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERGEY KUNKOV MD
NPI 1447332689
Emergency Medicine - Pediatric Emergency Medicine in Stony Brook, NY

Active since October 19, 2006PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-0650 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Dec 3, 2021, Nov 22, 2021 and 1 more (4 updates tracked since 2020).

About Sergey Kunkov Md NPPES

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

SERGEY KUNKOV MD (NPI 1447332689) is an individual pediatric emergency medicine provider in Stony Brook, New York, licensed in Texas (S5000) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lubbock, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1447332689
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameSERGEY KUNKOVCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-0650
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 19, 2006
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1447332689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in TX · S5000
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License S5000 (TX), 036179709 (IL), 213458 (NY)
101 NICOLLS RD, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 1602 Indiana AveLubbock, TX 79415-3364 · Phone (806) 761-0878 · Fax (806) 472-6802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6901941178
PECOS Enrollment IDI20260821003539
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 Kunkov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
866 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Texas Tech University Health Sciences Center Lubbock
1,651 mi
Anatomic Pathology
3601 4TH ST STE 1A115
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
NPI 1063461358 (806) 743-2155
Lubbock County Hospital District
1,656 mi
Emergency Medicine
602 INDIANA AVE
Lubbock, TX 79415
  • Reassigned Medicare billing, Texas enrollment
  • 73 clinicians in this Medicare group
NPI 1508855578 (806) 761-0843

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 11794 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Kunkov's NPI number?

The NPI number for Sergey Kunkov is 1447332689. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Sergey Kunkov located?

Sergey Kunkov practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-0650.

What is Sergey Kunkov's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Sergey Kunkov enrolled in Medicare?

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

Which organizations bill Medicare for Sergey Kunkov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergey Kunkov reassigns Medicare benefits to 3 organizations: Osf Multi-Specialty Group (Peoria, IL), Texas Tech University Health Sciences Center Lubbock (Lubbock, TX) and Lubbock County Hospital District (Lubbock, TX). 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 Kunkov'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 Kunkov was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.