Organization Active NPI

Serrano Family Practice

  • Family Medicine Physician
  • Pickerington, OH
National Provider Identifier
1023211372
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SERRANO FAMILY PRACTICE
Practice address
475 Hill Rd N
Pickerington, OH 43147-1157
Phone
(614) 833-5520
Fax
(614) 833-5525
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Lisa Burns Serrano, M.D.NPI 1952397838
Title
Vice President
Phone
(614) 833-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

475 Hill Rd N
Pickerington, OH 43147-1157

Mailing address

P.O. Box 457
Pickerington, OH 43147
Phone (614) 833-5520

Other identifiers 1

IdentifierTypeStateIssuer
2343002MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000609 OH Part B Supplier - Clinic/Group Practice 3870778038 Receives reassigned benefits from 1 practitioner
Practice locations: Pickerington, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0928993Serrano Family Practice475 North Hill Road, Pickerington, OH 43147Provider-performed microscopyJun 1, 2027

National Provider Directory

National Provider Directory

Locations

417 Hill Rd N
Ste 201
Pickerington, OH 43147
Phone (614) 733-4268

475 Hill Rd N
Pickerington, OH 43147
Phone (614) 834-1500

417 Hill Rd N
Ste 2
Pickerington, OH 43147
Phone (614) 833-5520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1023211372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 457",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-833-5520",
            "fax_number": "614-833-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471157",
            "telephone_number": "614-833-5520",
            "fax_number": "614-833-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRANO FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BURNS SERRANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "614-833-5520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.