Tony Serrano-Padin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12646 Issued in PR

Practice address

Usameddac
2480 Llewellyn Ave.
Fort George G. Meade, MD 20755-7081

Phone

(410) 278-5475

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  NPD (past)
• Migrant Health Center, Inc.

  • Managed Care Organization Pharmacy
  • San Sebastian, PR
  • NPI 1851502710
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1023180577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USAMEDDAC",
            "address_2": "2480 LLEWELLYN AVE.",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "410-278-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USAMEDDAC",
            "address_2": "2480 LLEWELLYN AVE.",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "410-278-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-PADIN",
        "first_name": "TONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryder
• Josephine Saunders
• Tamar Elise Sautter, MD
• Allison Schmider
• Allison Loretta Seale, M.D.
• Palestine A Sewell, CRNP
• Chao Shen
• Michael Myungkee Shin, D.M.D.
• Eddie J Simmons
• Suzane Gomes Simon, RN

• Family Medicine Physician in Fort George G Meade, MD
• Providers in Fort George G Meade, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.