Serguei V. Kishkurno, MD
NPI 1104056449ActiveIndividual· Pediatrics, Neonatal-Perinatal Medicine· Oak Lawn, IL
Pediatrics, Neonatal-Perinatal Medicine (MD) in Oak Lawn, Illinois, licensed in IL, IN and NY, with an NPI issued in July 2009. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1104056449 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 21, 2009 |
| Last updated in NPPES | Jul 3, 2025 |
| Certified by provider | Jul 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Neonatal-Perinatal Medicine Primary | 2080N0001X | 036-125524 | IL |
| Pediatrics | 208000000X | 01067835A | IN |
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | 01067835A | IN |
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | 244975 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (IL); Practitioner - Pediatric Medicine (IN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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