Individual provider Active NPI

Sisto P. Serafini, D.O.

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1366674046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS11153 Issued in FL
Practice address
8246 River Country Dr.
Spring Hill, FL 34607-2101
Phone
(352) 684-8637
Fax
(352) 684-8638
NPI assigned
Aug 14, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11153 FL Primary

Addresses

Primary practice location

8246 River Country Dr.
Spring Hill, FL 34607-2101

Mailing address

8246 River Country Dr.
Spring Hill, FL 34607-2101
Phone (352) 684-8637

Other identifiers 13

IdentifierTypeStateIssuer
591273247OtherFLMULTIPLAN AND PHCS
8482165OtherFLCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
14LS1OtherFLBCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
591273247OtherFLUHC EMPIRE PLAN
006251800MedicaidFL
3996398OtherMAIL HANDLERS BENEFIT PLAN (MHBP)
9963822OtherFLAETNA, PPO, HMO, EPO, MANAGED CHOICE, MEDICARE HMO/PPO
2447668OtherFLFIRST HEALTH, GROUP HEALTH AND COVENTRY NATIONAL NETWORK
3465292OtherFLUHC COMMERCIAL AND MEDICARE PLANS
357553OtherFLAVMED
14LS1OtherFLBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE BCBS PPO/HMO, GO BLUE
14LS1OtherFLOUT OF STATE BLUE CROSS BLUE SHIELD
591273247OtherFLMULTIPLAN, PHCS, PHCS SAVILITY, BEECH

Other names 1

  • Dr. Sisto P. Serafini Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120530000616 FL Practitioner - Internal Medicine 1254594252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osteopathic Heritage, P.a.Group PAC ID 6406907278, 13 clinicians

Practice addresses (Care Compare)

8246 River Country Dr
Weeki Wachee, FL 34607-2101
Phone (352) 684-8637

959 W Jefferson St
Brooksville, FL 34601-2427
Phone (352) 799-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11153FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Heritage, P.a. CurrentSince Jun 12, 2018 Accepting new patients
Osteopathic Heritage, P.a. Current Accepting new patients
Osteopathic Heritage, P.a. CurrentSince Jun 12, 2018 Accepting new patients

Locations

959 W Jefferson St
Brooksville, FL 34601
Phone (352) 666-6950

118 Seven Hills Dr
Spring Hill, FL 34609
Phone (352) 666-6950

8246 River Country Dr
Weeki Wachee, FL 34607
Phone (352) 684-8637

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366674046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8246 RIVER COUNTRY DR.",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346072101",
            "telephone_number": "352-684-8637",
            "fax_number": "352-684-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8246 RIVER COUNTRY DR.",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346072101",
            "telephone_number": "352-684-8637",
            "fax_number": "352-684-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI",
        "first_name": "SISTO",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN AND PHCS",
            "identifier": "591273247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO/HMO, OPEN ACCESS AND GREATWEST",
            "identifier": "8482165",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL,  FLORIDA STATE AND TRADITIONAL BCBS",
            "identifier": "14LS1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC EMPIRE PLAN",
            "identifier": "591273247",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006251800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLAN (MHBP)",
            "identifier": "3996398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, PPO, HMO, EPO, MANAGED CHOICE, MEDICARE HMO/PPO",
            "identifier": "9963822",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH, GROUP HEALTH AND COVENTRY NATIONAL NETWORK",
            "identifier": "2447668",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC COMMERCIAL AND MEDICARE PLANS",
            "identifier": "3465292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "357553",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE BCBS PPO/HMO, GO BLUE",
            "identifier": "14LS1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF STATE BLUE CROSS BLUE SHIELD",
            "identifier": "14LS1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN, PHCS, PHCS SAVILITY, BEECH",
            "identifier": "591273247",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SISTO",
            "last_name": "SERAFINI",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "D.O",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.