Active NPI
John A. Serpa, MD
- Pain Medicine (Anesthesiology) Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME79847
- Practice address
- 1800 W 68TH St Ste 115
Hialeah, FL 33014-4406 - Phone
- (305) 698-9077
- Fax
- (305) 827-4925
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME79847 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME79847 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME79847 | FL | Primary |
Addresses
Primary practice location
1800 W 68TH St Ste 115
Hialeah, FL 33014-4406
Mailing address
1800 W 68TH St Ste 115
Hialeah, FL 33014-4406
Phone (305) 698-9077
Other practice location 1
3720 Executive Way
Miramar, FL 33025-3946
Phone (877) 868-4827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262296300 | Medicaid | FL | |
| 01114 | Other | FL | BCBS OF FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referral@vitas.direct.kno2fy.com | VITAS Solutions Inc |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 W 68TH St
Suite 115
Hialeah, FL 33014-4406
Hospital & facility affiliations
- Palmetto General Hospital
- Memorial Hospital Miramar
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| Miami Interventional Pain and Rehabilitation Inc | Pain Medicine | Past | Accepting new patients |
Locations
1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900
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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Hialeah, FL
- NPI 1508147885
-
- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1245569870
-
- Pain Medicine (Anesthesiology) Physician
- Coral Gables, FL
- NPI 1255697058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hialeah, FL
- NPI 1881412740
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1407836232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W 68TH ST STE 115",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330144406",
"telephone_number": "305-698-9077",
"fax_number": "305-827-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 68TH ST STE 115",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330144406",
"telephone_number": "305-698-9077",
"fax_number": "305-827-4925"
}
],
"practiceLocations": [
{
"address_1": "3720 Executive Way",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330253946",
"country_code": "US",
"telephone_number": "877-868-4827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERPA",
"first_name": "JOHN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME79847",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME79847",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME79847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262296300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "01114",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referral@vitas.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "VITAS Solutions Inc",
"address_1": "3720 Executive Way",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330253946",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
- 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.