Individual provider Active NPI

Robert Serlin, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1003844333
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17236 Issued in AZ
Practice address
6238 E Pima St
Tucson, AZ 85712
Phone
(520) 290-0022
Fax
(520) 290-0044
NPI assigned
Jun 28, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17236 AZ Primary

Addresses

Primary practice location

6238 E Pima St
Tucson, AZ 85712

Mailing address

250 S Candlestick Dr
Tucson, AZ 85748
Phone (520) 760-4182

Other identifiers 1

IdentifierTypeStateIssuer
282624MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001836 AZ Practitioner - Emergency Medicine 0244214468 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17236AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Aug 27, 2014 Accepting new patients
American Current Care of Arizona PA CurrentSince Aug 27, 2014 Accepting new patients
American Current Care of Arizona PA CurrentSince Aug 27, 2014 Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Casa Grande Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Swea, P.C. Past Accepting new patients
University Physicians Healthcare Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

4600 S Park Ave
Tucson, AZ 85714
Phone (520) 889-9574

4600 S Park Ave
Ste 6
Tucson, AZ 85714
Phone (520) 889-3358

6238 E Pima St
Tucson, AZ 85712
Phone (520) 290-0022

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

15812 Midway Rd
Addison, TX 75001
Phone (972) 341-9265

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1003844333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S CANDLESTICK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85748",
            "telephone_number": "520-760-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-290-0022",
            "fax_number": "520-290-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLIN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "17236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282624",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.