Active NPI
Mario Ernest Serafini, D.O.
- Pain Medicine (Anesthesiology) Physician
- Charleston, SC
National Provider Identifier
1225097397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 39925
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-1000 - Phone
- (843) 792-1414
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 03200052067 | VT | |
| Anesthesiology Physician | 207L00000X | 1438 | WV | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 03200052067 | VT | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 39925 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-1000
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063453000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | WV | MD | Anesthesiology Physician |
| 39925 | SC | MD | Pain Medicine (Anesthesiology) Physician |
| 03200052067 | VT | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calais Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Anesthesiology | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Anesthesiology | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
4 Glen Cove Dr
Ste 206
Rockport, ME 04856
Phone (207) 593-5454
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- mario.serafini.1@8356.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1104843713
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Anesthesiology
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225097397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294251000",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAFINI",
"first_name": "MARIO",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "03200052067",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "1438",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VT",
"license": "03200052067",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "39925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0063453000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.