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SERGEY SERGEYEVICH KOMZYUK MD
NPI 1730974122
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 14, 2025PECOS Enrolled
4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sergey Sergeyevich Komzyuk Md NPPES

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

SERGEY SERGEYEVICH KOMZYUK MD (NPI 1730974122) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730974122
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGEY SERGEYEVICH KOMZYUKCredential: MD
Location Address4150 V ST # 1100Sacramento, CA 95817-1460
Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737
Phone(916) 734-2737
Sole ProprietorYes
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1730974122 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.
4150 V ST # 1100, Sacramento, CA 95817
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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)

Sergey Sergeyevich Komzyuk 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.

DANIELLE ZEZOFF
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
NINA LIU
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
DR. DAVID DAIWEI WANG MD
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
CONAN S LIU
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
MR. OMAR ESCOBEDO MD
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
KELSEY WONG DO
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
LINDSAY E VALENTI
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
DR. ASHLEY MEGAN FELDKAMP MD
Internal Medicine (Rheumatology)
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737

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 Sergey Komzyuk's NPI number?

The NPI number for Sergey Komzyuk is 1730974122. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Sergey Komzyuk located?

Sergey Komzyuk practices at 4150 V St # 1100, Sacramento, CA 95817. The listed phone number is (916) 734-2737.

What is Sergey Komzyuk's specialty?

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

Is Sergey Komzyuk enrolled in Medicare?

Yes. Sergey Komzyuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergey Komzyuk was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.