Serge De Golovine, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

N0720 Issued in TX

Practice address

4710 Bellaire Blvd
Ste 200
Bellaire, TX 77401-4526

Phone

(713) 661-1444

Fax

(713) 661-6604

NPI assigned

Jan 4, 2010

Last updated

May 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McGovern Allergy Clinic, P.a.Group PAC ID 8921093543, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: degolovine.serge.014.0430318@maac.meditab.direct-ci.com

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.

• McGovern Allergy Clinic, P.a.

  dba McGovern Allergy and Asthma Clinic, P.A.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Bellaire, TX
  • NPI 1194795450
  Medicare reassignment Care Compare group
• Baylor College of Medicine

  dba HCHD Community Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914
  Medicare reassignment NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1538499173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "address_2": "STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "address_2": "STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GOLOVINE",
        "first_name": "SERGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N0720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Arnold Davenport, OT
• Keisha Davis
• Kemba Lashay Davis
• Ronald L Davis, RPH
• Mary Evelyn Dawson, SLP
• Deborah Bastidas Ms & Associates
• Deborah Cooper-Newland DDS
• Debra F. Latimer Nutrition and Diabetes Associates
• Debra F. Latimer Nutrition and Diabetes Associates, LLC
• Dee McCrary Jr MD PA

• Allergy & Immunology Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.

Verify at the official NPI Registry.