SERGUEI IVANOVICH BANNYKH (MD) – Anatomic Pathology Physician, NPI 1053392365

SERGUEI IVANOVICH BANNYKH (MD) is a healthcare provider. based in Los angeles, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 040897 (CT). The NPI Number for SERGUEI IVANOVICH BANNYKH (MD) is 1053392365

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SERGUEI IVANOVICH BANNYKH (MD)
NPI
1053392365
Phone
(310) 423-3562
Address
8700 BEVERLY BLVD
Enumeration Date
14 November 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102488299
Graduation Year
1988 (38 years ago)
PAC ID
7911907274
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20070110000400
Address ID
CA900481804LO8723XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,584 PATHOLOGY in CA

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Provider Addresses for SERGUEI IVANOVICH BANNYKH (MD)

  • Cedars-Sinai Medical Center, 8700, Beverly Boulevard, West Hollywood, Los Angeles County, California, 90048, United States

    SUITE 8730

    LOS ANGELES, CA 90048

    Phone: (310) 423-3562

    Fax: (310) 423-0122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070110000400IPathologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure674124$0
88307Pathology examination of tissue using a microscope, moderately high complexity336198$0
88350Antibody evaluation, each additional single antibody stain procedure28064$0
88304Pathology examination of tissue using a microscope, moderately low complexity253240$0
88305Pathology examination of tissue using a microscope, intermediate complexity246216$0
View full utilization report →

Insurance plans in this area (ZIP 90048)

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Provider's Procedures

SERGUEI IVANOVICH BANNYKH (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity159144
PATHOLOGYCA88307Pathology examination of tissue using a microscope, moderately high complexity592196
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique468161

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

What is the registry number for SERGUEI IVANOVICH BANNYKH (MD)?
The registry entry for SERGUEI IVANOVICH BANNYKH (MD) shows NPI 1053392365.
Should I treat SERGUEI IVANOVICH BANNYKH (MD) as an active provider?
Patients and plans typically see SERGUEI IVANOVICH BANNYKH (MD) as active in the national extract.
What does the directory say SERGUEI IVANOVICH BANNYKH (MD) does?
Insurance directories may phrase it differently, but here SERGUEI IVANOVICH BANNYKH (MD) maps to Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SERGUEI IVANOVICH BANNYKH (MD) in Los Angeles, California?
For routing, start with Los Angeles, California for SERGUEI IVANOVICH BANNYKH (MD), then verify phone and hours locally.
Can I export SERGUEI IVANOVICH BANNYKH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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