DR. KSENIYA SERGEEVNA MASTEROVA MD, PHD
NPI 1457246548
Emergency Medicine in Chicago, IL

Q: What is Kseniya Masterova's NPI number?

The NPI number for Kseniya Masterova is 1457246548. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Kseniya Masterova's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kseniya Masterova was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 10, 2025PECOS Enrolled

5841 S MARYLAND AVE # 5068, CHICAGO, IL 60637(773) 702-9500 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kseniya Sergeevna Masterova Md, Phd NPPES

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

DR. KSENIYA SERGEEVNA MASTEROVA MD, PHD (NPI 1457246548) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.086308) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457246548

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. KSENIYA SERGEEVNA MASTEROVACredential: MD, PHD

Location Address5841 S MARYLAND AVE # 5068Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-9500

Sole ProprietorYes

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1457246548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 125.086308

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5841 S MARYLAND AVE # 5068, Chicago, IL 60637

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kseniya Sergeevna Masterova Md, Phd 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 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 12

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

ORETUNLEWA SOYINKA MD

Emergency Medicine