David Serafini, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30427 Issued in CO

Practice address

315 Grove St
Trinidad, CO 81082-2816

Phone

(843) 363-1071

NPI assigned

May 19, 2006

Last updated

Mar 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.serafini.1@5071.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Medicare reassignment NPD
• Trinidad Area Health Association

  dba Mt. San Rafael Hospital Clinic

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309
  Medicare reassignment NPD
• Trinidad Area Health Association

  dba Mt. San Rafael Hospital Specialty Clinics

  • Orthopaedic Surgery Physician
  • Trinidad, CO
  • NPI 1548965999
  NPD
• Crossroads Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Effingham, IL
  • NPI 1023033982
  NPD (past)
• Midway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1447397526
  NPD (past)
• Neck to Back Peoria LLC

  • Chiropractor
  • Peoria, IL
  • NPI 1164475976

  Family Medicine

  NPD (past)
• Neck to Back Rockford LLC

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1427004084
  NPD (past)
• Rend Emergency Physicians

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1083803852
  NPD (past)
• Spinal Rehabilitation and Wellness Clinic, LLC

  dba Neck to Back Medical Clinic

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1376789545
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1316991052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GROVE ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822816",
            "telephone_number": "847-363-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GROVE ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822816",
            "telephone_number": "843-363-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104819-6",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Fe Trail Medical Center
• Chantelle Santistevan, RN
• John C Schecter
• Patrick Scheels, RPH
• Sarah A Scott
• Teran Serazio-Seeders
• Audrey Susan Serazio, CCC-SLP
• Juha Sinda
• Skin Cancer and Dermatology Center of Colorado Springs, P.C.
• Sleep Well Southern Colorado Treatment LLC

• Family Medicine Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.