Individual provider Active NPI

Atilio Abreu Serrano, MD

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1407087323
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0123 Issued in TX
Practice address
1600 James Bowie Dr Ste C104
Baytown, TX 77520-3356
Phone
(346) 775-8485
Fax
(346) 775-4528
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P0123 TX Primary

Addresses

Primary practice location

1600 James Bowie Dr Ste C104
Baytown, TX 77520-3356

Mailing address

1600 James Bowie Dr Ste C104
Baytown, TX 77520-3356
Phone (346) 775-8485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140220000060 TX Practitioner - Family Practice 9739319633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

1600 James Bowie Dr
Suite C104
Baytown, TX 77520-3356
Phone (346) 775-8485

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Sep 23, 2019 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Sep 23, 2019 Accepting new patients

Locations

1600 James Bowie Dr
Ste C104
Baytown, TX 77520
Phone (281) 422-2229

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: atilio.abreu.serrano.1@8042.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1407087323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JAMES BOWIE DR STE C104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203356",
            "telephone_number": "346-775-8485",
            "fax_number": "346-775-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JAMES BOWIE DR STE C104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203356",
            "telephone_number": "346-775-8485",
            "fax_number": "346-775-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU SERRANO",
        "first_name": "ATILIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.