Individual provider Active NPI

Sam W Serafi, M.D.

  • Rheumatology Physician
  • Baltimore, MD
National Provider Identifier
1538427588
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0083475 Issued in MD
Practice address
1220B E Joppa Rd Ste 310
Baltimore, MD 21286-5818
Phone
(410) 494-1888
Fax
(410) 494-1008
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X D0083475 MD Primary

Addresses

Primary practice location

1220B E Joppa Rd Ste 310
Baltimore, MD 21286-5818

Mailing address

1220B E Joppa Rd Ste 310
Baltimore, MD 21286-5818
Phone (410) 494-1888

Other identifiers 1

IdentifierTypeStateIssuer
239802800MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sam.serafi@direct.rab.nextgenshare.com
Direct Messaging Address sam.serafi.p1@direct.rab.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170615000785 MD Practitioner - Rheumatology 4688942659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Rheumatology Associates of Baltimore LLCGroup PAC ID 7911959861, 8 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1220 B E Joppa Rd
Suite 310
Baltimore, MD 21286-5812
Phone (410) 494-1888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083475MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Baltimore LLC Single Specialty CurrentSince Jun 21, 2017 Accepting new patients

Locations

1220B E Joppa Rd
Ste 324
Towson, MD 21286
Phone (410) 494-1888

1220B E Joppa Rd
Ste 310
Towson, MD 21286
Phone (410) 494-1888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1538427588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865818",
            "telephone_number": "410-494-1888",
            "fax_number": "410-494-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865818",
            "telephone_number": "410-494-1888",
            "fax_number": "410-494-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFI",
        "first_name": "SAM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0083475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239802800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.serafi@direct.rab.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1220B E Joppa Rd Ste 310",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.serafi.p1@direct.rab.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1220B E Joppa Rd Ste 310",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.