Individual ProviderSerge SomrovRadiologyAllopathic & Osteopathic PhysiciansPractice Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915(952) 595-1301PECOS EnrollmentBased on the most recent information from CMS, provider Serge Somrov is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1346462629Provider TypeIndividualFull NameSomrov, SergeTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/3/2007Last Updated1/14/2025Contact InformationPractice LocationPractice Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915Phone(952) 595-1301Fax(612) 294-4903Mailing LocationMailing Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915Phone(952) 595-1301Fax(612) 294-4903Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense235434New YorkCode2085B0100XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense235434New YorkCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense235434-1New York