Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gennadiy Vasilyevich Shevchenko, MD

Individual provider Neurology Physician · NPI 1093005498

Gennadiy Vasilyevich Shevchenko, MD is a Neurology in Minneapolis, Minnesota. Qualified in 1995, 31 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3809 42nd Ave S
Minneapolis, MN 55406-3503
Phone: (612) 721-6261
Fax: (612) 721-1691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 59255 (MN)

Record details

NPI number1093005498
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2011
Last updated in NPPESAugust 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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