Active NPI
Serve MD LLC
- Geriatric Medicine (Internal Medicine) Physician
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- SERVE MD LLC
- Practice address
- 7900 E Florentine Rd
Prescott Valley, AZ 86314-2218 - Phone
- (928) 493-9937
- Fax
- (928) 304-7770
- NPI assigned
- Jun 22, 2023
- Last updated
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raghav Mohindra, MD
- Title
- Owner
- Phone
- (928) 493-9937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
7900 E Florentine Rd
Prescott Valley, AZ 86314-2218
Mailing address
7900 E Florentine Rd
Prescott Valley, AZ 86314-2218
Phone (928) 493-9937
Other practice location 1
203 S Candy Ln Ste 6A
Cottonwood, AZ 86326-8112
Phone (928) 493-9937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2309907 | Serve MD | Certificate of waiver | Aug 21, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/EECFDD
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Prescott Valley, AZ
- NPI 1427210426
Single Specialty
-
- Adult Health Nurse Practitioner
- Prescott Valley, AZ
- NPI 1912422452
-
- Nurse Practitioner
- Lake Havasu City, AZ
- NPI 1437511896
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1013302884
-
- General Practice Physician
- Prescott, AZ
- NPI 1396206603
-
- Neurology Physician
- Tucson, AZ
- NPI 1003927864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1285310581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 E FLORENTINE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142218",
"telephone_number": "928-493-9937",
"fax_number": "928-304-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 E FLORENTINE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142218",
"telephone_number": "928-493-9937",
"fax_number": "928-304-7770"
}
],
"practiceLocations": [
{
"address_1": "203 S Candy Ln Ste 6A",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863268112",
"country_code": "US",
"telephone_number": "928-493-9937",
"fax_number": "928-304-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERVE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-22",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "MOHINDRA",
"authorized_official_first_name": "RAGHAV",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-493-9937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.