Individual provider Active NPI

Craig David Serin, M.D.

  • Internal Medicine Physician
  • Wilton, CT
National Provider Identifier
1013946656
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039527 Issued in CT
Practice address
195 Danbury Rd
Davenport Building, Suite 140
Wilton, CT 06897-4075
Phone
(203) 762-3353
Fax
(203) 761-8563
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039527 CT Primary

Addresses

Primary practice location

195 Danbury Rd
Davenport Building, Suite 140
Wilton, CT 06897-4075

Mailing address

195 Danbury Rd
Davenport Building, Suite 140
Wilton, CT 06897-4075
Phone (203) 762-3353

Other identifiers 1

IdentifierTypeStateIssuer
001395278MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101014001305 CT Practitioner - Internal Medicine 1759574361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

195 Danbury Rd
Wilton, CT 06897-4075
Phone (203) 563-0230

Hospital & facility affiliations

  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as group
Quality
67.52
Promoting interoperability
95
Improvement activities
20
Cost
74.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039527CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

73 Redding Rd
Redding, CT 06896
Phone (203) 544-9507

195 Danbury Rd
Wilton, CT 06897
Phone (203) 276-8490

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

195 Danbury Rd
Ste 140
Wilton, CT 06897
Phone (203) 762-3353

195 Danbury Rd
Ste 210
Wilton, CT 06897
Phone (203) 807-4544

Organizations & group practices 1

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1013946656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 DANBURY RD",
            "address_2": "DAVENPORT BUILDING, SUITE 140",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974075",
            "telephone_number": "203-762-3353",
            "fax_number": "203-761-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DANBURY RD",
            "address_2": "DAVENPORT BUILDING, SUITE 140",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974075",
            "telephone_number": "203-762-3353",
            "fax_number": "203-761-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIN",
        "first_name": "CRAIG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001395278",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.