NPIMap

Individual provider Active NPI

Derek Ray Serna-Gallegos, MD

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1003222381
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD463917 Issued in PA
Practice address
5200 Centre Ave Ste 715
Pittsburgh, PA 15232-1327
Phone
(299) 441-2623
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 131445 CA
Surgery Physician 208600000X MD463917 PA Primary

Addresses

Primary practice location

5200 Centre Ave Ste 715
Pittsburgh, PA 15232-1327

Mailing address

3600 Forbes Ave
Forbes Tower - Plaza Leve 1 Suite 140
Pittsburgh, PA 15213

Other practice location 1

200 Lothrop Street
Suite C800
Pittsburgh, PA 15213
Phone (412) 648-6200

Other names 1

  • Mr. Derek Ray Serna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000019 PA Practitioner - Cardiac SurgeryPractitioner - General Surgery 8426356197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

Hospital & facility affiliations

  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Ospta at Home Home health agency, Belle Vernon, PA, CCN 397798
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc East Hospital, Monroeville, PA, CCN 390328
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)16
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

200 Lothrop St
Ste C800
Pittsburgh, PA 15213
Phone (412) 647-7555

200 Lothrop St
Ste 5B
Pittsburgh, PA 15213
Phone (412) 647-6000

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: derek.r.sernagallegos@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1003222381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE",
            "address_2": "FORBES TOWER - PLAZA LEVE 1 SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE STE 715",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321327",
            "telephone_number": "299-441-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop Street",
            "address_2": "Suite C800",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-648-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA-GALLEGOS",
        "first_name": "DEREK",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "131445",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD463917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "SERNA",
            "middle_name": "RAY",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.