SERGEI VENIAMINOVICH DMITRUK (MD) – Ophthalmology Physician, NPI 1184158602

SERGEI VENIAMINOVICH DMITRUK (MD) is a healthcare provider. based in Carrollton, Kentucky. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 01085592A (IN). The NPI Number for SERGEI VENIAMINOVICH DMITRUK (MD) is 1184158602

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SERGEI VENIAMINOVICH DMITRUK (MD)
NPI
1184158602
Phone
(800) 477-0055
Address
309 11th St
Enumeration Date
12 April 2017
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
8129480616
Graduation Year
2017 (9 years ago)
PAC ID
1254730187
Group Practice PAC ID
4789584921
Professional Enrollment ID
I20210526002548
Address ID
IN471503620NE519XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

284 OPHTHALMOLOGY in KY

Provider Addresses for SERGEI VENIAMINOVICH DMITRUK (MD)

  • 309 11th St

    Carrollton, KY 410081435

    Phone: (800) 477-0055

    Fax: (502) 361-4488

    Type: Location

  • 1000 Johnstown Rd Ste 102

    Elizabethtown, KY 427013925

    Phone: (270) 769-0099

    Fax: (270) 763-0315

    Type: Location

  • 73 Quartermaster Ct

    Jeffersonville, IN 471303623

    Phone: (812) 284-0077

    Fax: (812) 284-0129

    Type: Location

  • 1935 BLUEGRASS AVE STE 200

    LOUISVILLE, KY 402151181

    Phone: (502) 364-0033

    Fax: (502) 361-4488

    Type: Mailing

  • 4010 DUPONT CIR STE 380

    LOUISVILLE, KY 402074881

    Phone: (502) 895-0040

    Fax: (502) 214-3429

    Type: Location

  • 9200 Leesgate Rd Ste 201

    Louisville, KY 402225173

    Phone: (502) 895-2910

    Type: Location

  • 519 State St

    New Albany, IN 471503620

    Phone: (812) 948-0616

    Type: Location

  • 7435, West 70th Avenue, Arvada, Jefferson County, Colorado, 80003, United States

    ARVADA, CO 800033428

    Phone: (720) 394-3820

    Type: Mailing

  • Riverside Regional Medical Center, 500, J Clyde Morris Boulevard, Deer Park, Newport News, Newport News City, Virginia, 23601, United States

    TY INTERN PROGRAM, MED EDUCATION, 2ND FL. ANNEX

    NEWPORT NEWS, VA 236011929

    Phone: (757) 594-3945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,564.

Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($883).

Total Amount

$1,564

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210526002548IOphthalmologyINTBD
I20210527002856IOphthalmologyKYTBD

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
66984Removal of cataract with insertion of prosthetic lens979554$0
92136Measurement of corneal curvature and depth of eye645542$0
99204New patient office or other outpatient visit, 45-59 minutes166166$0
99213Established patient office or other outpatient visit, 20-29 minutes11196$0
99214Established patient office or other outpatient visit, 30-39 minutes10493$0
View full utilization report →

Insurance plans in this area (ZIP 41008)

Loading plans...

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: 4789584921View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YKY
O P H T H A L M O L O G YIN
O P T O M E T R YIL
O P T O M E T R YKY
O P T O M E T R YKY
O P H T H A L M O L O G YKY
O P H T H A L M O L O G YKY
O P H T H A L M O L O G YKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is SERGEI VENIAMINOVICH DMITRUK (MD)'s NPI number?
SERGEI VENIAMINOVICH DMITRUK (MD)'s NPI is 1184158602 — the number used across U.S. healthcare to identify this provider.
Is SERGEI VENIAMINOVICH DMITRUK (MD) still an active registrant?
SERGEI VENIAMINOVICH DMITRUK (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for SERGEI VENIAMINOVICH DMITRUK (MD)?
At a glance, SERGEI VENIAMINOVICH DMITRUK (MD) is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SERGEI VENIAMINOVICH DMITRUK (MD)?
Directory geography for SERGEI VENIAMINOVICH DMITRUK (MD) centers on Carrollton, Kentucky.
What does 9 location(s) imply?
9 practice locations appear in the available data.

Similar Providers

BENNETT & BLOOM EYE CENTERS

Ophthalmology Physician
2525 Elizabethtown Rd
NPI: 1659385508

APARNA SHAH (M.D.)

Ophthalmology Physician
1935 BLUEGRASS AVE STE 200
NPI: 1356788426

ZACHARY HALE TARTER (MD)

Ophthalmology Physician
2200 E Parrish Ave Ste 201
NPI: 1952980716