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DR. SERGEI SHIRIAEV MD
NPI 1629741962
Pediatrics - Pediatric Hematology-Oncology in Charleston, SC

Active since July 30, 2021PECOS Enrolled
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401(843) 792-2300 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2021, Jul 30, 2021 (2 updates tracked since 2021).

About Dr. Sergei Shiriaev Md NPPES

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

DR. SERGEI SHIRIAEV MD (NPI 1629741962) is an individual pediatric hematology-oncology provider in Charleston, South Carolina, licensed in South Carolina (86502) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629741962
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. SERGEI SHIRIAEVCredential: MD
Location Address10 MCCLENNAN BANKS DRCharleston, SC 29401-1164
Mailing Address169 Ashley Avenue, Room 202 Main Hospital Msc333Charleston,, SC 29425 · (843) 792-2957
Phone(843) 792-2300
Sole ProprietorYes
Enumeration DateJuly 30, 2021
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1629741962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in SC · 86502
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
10 MCCLENNAN BANKS DR, Charleston, SC 29401
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Sergei Shiriaev Md 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.

EMILY E BRAME
Registered Nurse
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-2300
DR. CAITLIN MARY KELLER PT, DPT, PCS
Physical Therapist (Pediatrics)
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 985-2128
NICOLE NEIMAN
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
BEN JAWN MITCHELL MD
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
EMMA KUNKLEMAN DO
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
TORI NICOLE COOKE DNP, CPNP-AC
Pediatrics (Pediatric Cardiology)
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-1414
ANDREA LAUREN POWER
Registered Nurse
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-2300
TING WANG
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972

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 Shiriaev's NPI number?

The NPI number for Sergei Shiriaev is 1629741962. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Sergei Shiriaev located?

Sergei Shiriaev practices at 10 Mcclennan Banks Dr, Charleston, SC 29401. The listed phone number is (843) 792-2300.

What is Sergei Shiriaev's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Sergei Shiriaev enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sergei Shiriaev was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.