Active NPI
Admir Seferovic, MD
- Family Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2492
- Practice address
- 11937 US Highway 271
Tyler, TX 75708-3154 - Phone
- (903) 877-7200
- Fax
- (903) 877-5080
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q2492 | TX | |
| Family Medicine Physician | 207Q00000X | Q2492 | TX | Primary |
Addresses
Primary practice location
11937 US Highway 271
Tyler, TX 75708-3154
Mailing address
PO Box 731912
Dallas, TX 75373-1912
Phone (903) 877-7200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ADMIR.SEFEROVIC@hca4.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10330 SE 32ND Ave
Suite 205
Milwaukie, OR 97222-6594
Phone (503) 513-8950
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q2492 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients |
Locations
10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Interoperability endpoints
- aseferovic3502552@oc.providencedirect.org
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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
dba UT Health East Texas Physicians Overton
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
dba Providence Medical Group
- Pediatric Endocrinology Physician
- Portland, OR
- NPI 1457759318
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1477763795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731912",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731912",
"telephone_number": "903-877-7200",
"fax_number": "903-877-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7200",
"fax_number": "903-877-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEFEROVIC",
"first_name": "ADMIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q2492",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2492",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ADMIR.SEFEROVIC@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "11937 US Highway 271",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757083154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.