SAM SIROTNIKOV DO
NPI 1457858409
Pathology - Anatomic Pathology & Clinical Pathology in Washington, DC

Q: What is Sam Sirotnikov's NPI number?

The NPI number for Sam Sirotnikov is 1457858409. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Sam Sirotnikov's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Sam Sirotnikov was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 06, 2018PECOS Enrolled

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-2051 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Sam Sirotnikov Do NPPES

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

SAM SIROTNIKOV DO (NPI 1457858409) is an individual anatomic pathology & clinical pathology provider in Washington, District Of Columbia, licensed in District Of Columbia (D0210012411) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457858409

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameSAM SIROTNIKOVCredential: DO

Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916

Mailing Address2101 16th St Nw Apt 319Washington, DC 20009-6584

Phone(202) 476-2051

Sole ProprietorNo

Enumeration DateApril 6, 2018

Last NPPES UpdateJune 20, 2024

NPPES CertifiedJune 20, 2024

✔ NPI 1457858409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in DC · D0210012411

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

111 MICHIGAN AVE NW, Washington, DC 20010

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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)

Sam Sirotnikov Do 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 Reassignment

Medicare enrollment records show Sam Sirotnikov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital

Same address

Pediatrics

111 MICHIGAN AVE NW
Washington, DC 20010

Reassigned Medicare billing, District of Columbia enrollment
1,417 clinicians in this Medicare group

NPI 1780800128 (202) 476-5000

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 20010 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

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 Sam Sirotnikov's NPI number?

The NPI number for Sam Sirotnikov is 1457858409. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Sam Sirotnikov located?

Sam Sirotnikov practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-2051.

What is Sam Sirotnikov's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sam Sirotnikov enrolled in Medicare?

Yes. Sam Sirotnikov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Sirotnikov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Sirotnikov reassigns Medicare benefits to Children's Hospital (Washington, DC). The 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 Sam Sirotnikov'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 Sam Sirotnikov was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.