YURI O SHEVCHENKO (M.D.) – Pediatric Anesthesiology Physician, NPI 1588649214

YURI O SHEVCHENKO (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD059395L (PA). The NPI Number for YURI O SHEVCHENKO (M.D.) is 1588649214

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
YURI O SHEVCHENKO (M.D.)
NPI
1588649214
Phone
(302) 733-0806
Address
PO BOX 650782
Enumeration Date
15 December 2005
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154278363
Graduation Year
1986 (40 years ago)
PAC ID
0042295107
Group Practice PAC ID
7315372323
Professional Enrollment ID
I20040622001323
Address ID
PA191246018PH300XXAVEX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,823 ANESTHESIOLOGY in PA

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Provider Addresses for YURI O SHEVCHENKO (M.D.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650782

    Phone: (302) 733-0806

    Fax: (302) 733-0806

    Type: Mailing

  • 100 Witmer Road, 100, Witmer Road, Upper Moreland Township, Montgomery County, Pennsylvania, 19044, United States

    STE 220

    HORSHAM, PA 190442251

    Phone: (215) 442-5085

    Fax: (215) 672-4264

    Type: Location

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-1324

    Type: Mailing

  • 160 E ERIE AVE

    PHILADELPHIA, PA 191341011

    Phone: (215) 427-5520

    Type: Location

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: 2004-06-22

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
I20040622001323IAnesthesiologyPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75265)

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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: 7315372323View full group profile
NameSpecialtyState
Pediatric Medicine, EndocrinologyPA
Pediatric Medicine, Cardiovascular Disease (Cardiology), Pediatric MedicinePA
Pediatric Medicine, Infectious DiseasePA
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)PA
Allergy/Immunology, Pediatric MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Pediatric MedicinePA
A N E S T H E S I O L O G YIN
Nurse PractitionerNY

Reviews

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Frequently asked questions

How do I look up YURI O SHEVCHENKO (M.D.) by NPI?
Use NPI 1588649214 when you need to reference YURI O SHEVCHENKO (M.D.) in forms, claims, or directories.
Is YURI O SHEVCHENKO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does YURI O SHEVCHENKO (M.D.) list a primary specialty?
If you are matching referrals, note Pediatric Anesthesiology Physician for YURI O SHEVCHENKO (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for YURI O SHEVCHENKO (M.D.)?
The page summarizes Dallas, Texas for YURI O SHEVCHENKO (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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