Individual provider Active NPI

Daniel Henry Serrato, M.D.

  • Interventional Pain Medicine Physician
  • Columbus, GA
National Provider Identifier
1114960382
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
30885 Issued in GA
Practice address
7141 Moon Rd
Columbus, GA 31909-3137
Phone
(706) 322-7246
Fax
(706) 596-2115
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 30885 GA Primary

Addresses

Primary practice location

7141 Moon Rd
Columbus, GA 31909-3137

Mailing address

PO Box 9456
Columbus, GA 31908-9456
Phone (706) 322-7246

Other identifiers 2

IdentifierTypeStateIssuer
00460171DMedicaidGA
650207OtherGABCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040519001145 GA Practitioner - Pain ManagementPractitioner - Interventional Pain Management 3870584808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Ponce School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7141 Moon Rd
Suite a
Columbus, GA 31909-7293
Phone (706) 322-7246

Merit-based Incentive Payment System (MIPS)

Final score
55.45 of 100Reported as individual
Quality
52.34
Improvement activities
0
Cost
97.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Pain Center, P.C. Interventional Pain Medicine CurrentSince Sep 1, 1996 Accepting new patients

Locations

7141 Moon Rd
Ste A
Columbus, GA 31909
Phone (706) 322-7246

7141 Moon Rd
Columbus, GA 31909
Phone (706) 258-9998

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eab031dc-b014-4e04-af2a-409cb0a42bac/

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1114960382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9456",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089456",
            "telephone_number": "706-322-7246",
            "fax_number": "706-596-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093137",
            "telephone_number": "706-322-7246",
            "fax_number": "706-596-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATO",
        "first_name": "DANIEL",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "30885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460171D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "650207",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.