Individual provider Active NPI

Stephen Serrano, MD

  • Emergency Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1366768434
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
206328 Issued in LA
Practice address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone
(225) 354-9116
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 206328 LA Primary
Family Medicine Physician 207Q00000X 206328 LA

Addresses

Primary practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Mailing address

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (225) 354-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130824000020 LA Practitioner - Family PracticePractitioner - Emergency Medicine 5193968089 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Emergency Group LLCGroup PAC ID 4183651425, 25 clinicians

Practice addresses (Care Compare)

4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 436-2511

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as group
Quality
82.42
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206328LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Urgent Care CurrentSince Oct 5, 2013 Accepting new patients
Ambassador Emergency Group LLC Emergency Medicine CurrentSince May 30, 2015 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc Emergency Medicine CurrentSince Mar 15, 2018 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine Past Accepting new patients

Locations

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1366768434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "225-354-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "225-354-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "206328",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "206328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.