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SERGUEI MEDVEDEV M.D
NPI 1609490705
Internal Medicine in Pontiac, MI

Active since June 04, 2020PECOS Enrolled
44405 WOODWARD AVENUE, MEDICAL EDUCATION-H23, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Serguei Medvedev M.d NPPES

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

SERGUEI MEDVEDEV M.D (NPI 1609490705) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (4351046860) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609490705
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSERGUEI MEDVEDEVCredential: M.D
Location Address44405 WOODWARD AVENUE, MEDICAL EDUCATION-H23Pontiac, MI 48341
Mailing Address44405 Woodward Avenue, Medical Education-h23Pontiac, MI 48341
Phone(248) 858-3000
Sole ProprietorYes
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 2, 20202 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1609490705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4351046860
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
44405 WOODWARD AVENUE, Pontiac, MI 48341
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serguei Medvedev 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

RISHAB RAJENDRA PRABHU M.D.
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVENUE, H-23
PONTIAC, MI 48341
Oakland County (248) 858-6233
VIVEK MITTAL MD
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVENUE, SUITE NUMBER; H-23
PONTIAC, MI 48341
Oakland County (248) 858-6233
DIPAM KIRAN SHAH MD
Internal Medicine
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Oakland County (248) 858-6233
CLAUDIA KASSOUF DO
Obstetrics & Gynecology
44405 WOODWARD AVENUE, GRADUATE MEDICAL EDUCATION DEPT
PONTIAC, MI 48341
Oakland County (248) 858-3231
SRI BHARATHI YADLAPALLI MD
Internal Medicine (Medical Oncology)
44405 WOODWARD AVENUE, SUITE 202
PONTIAC, MI 48341
Oakland County (248) 858-2270
MR. NIHAR KANTA JENA M.D.
Internal Medicine (Cardiovascular Disease)
44405 WOODWARD AVENUE, MEDICAL EDUCATION, H-23
PONTIAC, MI 48341
Oakland County (248) 858-6233
IBRAHIM AZAR MD
Internal Medicine (Medical Oncology)
44405 WOODWARD AVENUE, SUITE 202
PONTIAC, MI 48341
Oakland County (248) 858-2270
QUANG DAT HA
Internal Medicine
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Oakland County (248) 858-6233

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 Serguei Medvedev's NPI number?

The NPI number for Serguei Medvedev is 1609490705. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Serguei Medvedev located?

Serguei Medvedev practices at 44405 Woodward Avenue Medical Education-H23, Pontiac, MI 48341. The listed phone number is (248) 858-3000.

What is Serguei Medvedev's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Serguei Medvedev enrolled in Medicare?

Yes. Serguei Medvedev is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Serguei Medvedev was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.