1. Home
  2. Directory
  3. New York
  4. Newburgh
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SERGEI KLOKOV M.D.
NPI 1497439145
Student in an Organized Health Care Education/Training Program in Newburgh, NY

Active since June 13, 2023PECOS Enrolled
70 DUBOIS STREET, MONTEFIORE ST. LUKES CORNWALL, NEWBURGH, NY 12550(845) 458-4883 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jun 13, 2023 (2 updates tracked since 2023).

About Sergei Klokov M.d. NPPES

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

SERGEI KLOKOV M.D. (NPI 1497439145) is an individual student in an organized health care education/training program in Newburgh, New York and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497439145
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGEI KLOKOVCredential: M.D.
Location Address70 DUBOIS STREET, MONTEFIORE ST. LUKES CORNWALLNewburgh, NY 12550
Mailing Address70 Dubois Street, Montefiore St. Lukes CornwallNewburgh, NY 12550
Phone(845) 458-4883
Sole ProprietorNo
Enumeration DateJune 13, 2023
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1497439145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
70 DUBOIS STREET, Newburgh, NY 12550
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)

Sergei Klokov M.d. 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.

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.

MR. KHALED WALEED ATIEH EREKAT M.D.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 561-4400
AMMARAH TARIQ M.D.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 654-6399
DOROTHY A WEISS CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
MR. SHASHWAT KIRTI KESHRI M.D.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 458-4883
MR. SAAD FAROOQ M.D
Internal Medicine
70 DUBOIS STREET
NEWBURG, NY 12550
Orange County (845) 561-4400
MRS. JENNIFER LYNN MAHEDY CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
OLUMIDE DAMILOLA AKINMOJU M.D
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALL
NEWBURGH, NY 12550
Orange County (845) 561-4400
ONIDIA C WEINERT CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400

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 Sergei Klokov's NPI number?

The NPI number for Sergei Klokov is 1497439145. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Sergei Klokov located?

Sergei Klokov practices at 70 Dubois Street Montefiore St. Lukes Cornwall, Newburgh, NY 12550. The listed phone number is (845) 458-4883.

What is Sergei Klokov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sergei Klokov enrolled in Medicare?

Yes. Sergei Klokov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergei Klokov was last updated on June 13, 2023. 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.