Serina Rene Padilla, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-39984 Issued in KS

Practice address

2330 N Kansas Ave
Liberal, KS 67901-2372

Phone

(620) 624-0463

NPI assigned

Jun 30, 2014

Sex

Female

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 KS

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

Practice roles

Locations

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.

• United Methodist Western Kansas Mexican-American Ministries, Inc.

  • Family Medicine Physician
  • Garden City, KS
  • NPI 1104072487

  KS

  Medicare reassignment NPD
• United Methodist Western Kansas Mexican-American Ministries, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dodge City, KS
  • NPI 1275337982
  NPD
• Wesley Pathology Consultants PA

  • Clinical Pathology/Laboratory Medicine Physician
  • Wichita, KS
  • NPI 1770568263
  NPD
• United Methodist Western Kansas Mexican American Ministries,Inc.

  • Federally Qualified Health Center (FQHC)
  • Dodge City, KS
  • NPI 1174669303
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1275948010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460766",
            "telephone_number": "620-271-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012372",
            "telephone_number": "620-624-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SERINA",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-39984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Nosbisch, ATC
• Veronica E Nwokei
• OB-GYN Associates of Southwest Kansas Chartered
• Optical 2020
• Edward D Oyler, CRNA
• Panhandle Home Health & Hospice, Inc.
• Parents and Children Together
• Pegasus Emergency Physicians, LLC
• Livan Perez
• Perlita M. Dutton, DDS, PA

• All providers in Liberal, KS
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.