NPIMap

Individual provider Active NPI

Patricia Ann Sereno, MD

  • Family Medicine Physician
  • Malden, MA
National Provider Identifier
1154310076
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79915 Issued in MA
Practice address
178 Savin St
Malden Family Health Center
Malden, MA 02148-2329
Phone
(781) 338-7400
Fax
(781) 338-7405
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 79915 MA Primary

Addresses

Primary practice location

178 Savin St
Malden Family Health Center
Malden, MA 02148-2329

Mailing address

178 Savin St
Malden Family Health Center
Malden, MA 02148-2329
Phone (781) 338-7400

Other identifiers 1

IdentifierTypeStateIssuer
3167992MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824001255 MA Practitioner - Family Practice 1759355779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 306-6180

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Elara Caring Home health agency, Newburyport, MA, CCN 227503
  • Tufts Medicine Care at Home Hospice, Lowell, MA, CCN 221508
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79915MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Hallmark Health System Inc Past Accepting new patients

Locations

578 Main St
Malden, MA 02148
Phone (781) 321-3422

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Organizations & group practices 2

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 10

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1154310076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST",
            "address_2": "MALDEN FAMILY HEALTH CENTER",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7400",
            "fax_number": "781-338-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST",
            "address_2": "MALDEN FAMILY HEALTH CENTER",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7400",
            "fax_number": "781-338-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENO",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "79915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3167992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.