Active NPI
Randal Seriel, M.D.
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1508883430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J6038
- Practice address
- 6720 Bertner St
Houston, TX 77030-2604 - Phone
- (832) 355-2121
- NPI assigned
- Jul 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J6038 | TX | Primary |
Addresses
Primary practice location
6720 Bertner St
Houston, TX 77030-2604
Mailing address
6750 West Loop S
Suite 950
Bellaire, TX 77401-4103
Phone (713) 838-0800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P6162 | Other | TX | BCBS |
| 129714507 | Medicaid | TX | |
| 129714510 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6038 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Complete Emergency Care I LLC | Past | Accepting new patients |
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.
-
- Emergency Care Clinic/Center
- San Antonio, TX
- NPI 1326397274
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1639154230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1508883430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 WEST LOOP S",
"address_2": "SUITE 950",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014103",
"telephone_number": "713-838-0800",
"fax_number": "713-838-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 BERTNER ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302604",
"telephone_number": "832-355-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERIEL",
"first_name": "RANDAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J6038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8P6162",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129714507",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129714510",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.