Individual provider Active NPI

John A. Serpa, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hialeah, FL
National Provider Identifier
1407836232
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME79847 Issued in FL
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

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
262296300MedicaidFL
01114OtherFLBCBS OF FL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000261 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8527967587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Serpa MD P.aGroup PAC ID 7012189418, 2 clinicians

Practice addresses (Care Compare)

1800 W 68TH St
Suite 115
Hialeah, FL 33014-4406

Hospital & facility affiliations

  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.