Active NPI
Jose Serrano, MD
- Gastroenterology Physician
- Bethesda, MD
National Provider Identifier
1578728903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 21421
- Practice address
- 6707 Democracy Blvd Ste 6022
Bethesda, MD 20817-1129 - Phone
- (204) 593-4271
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 21421 | DC | Primary |
| Internal Medicine Physician | 207R00000X | 21421 | DC |
Addresses
Primary practice location
6707 Democracy Blvd Ste 6022
Bethesda, MD 20817-1129
Mailing address
6707 Democracy Blvd RM 6022
Bethesda, MD 20817-1129
Phone (240) 593-4271
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21421 | DC | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1578728903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 DEMOCRACY BLVD RM 6022",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171129",
"telephone_number": "240-593-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 DEMOCRACY BLVD STE 6022",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171129",
"telephone_number": "204-593-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "DC",
"license": "21421",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "21421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.