Individual provider Active NPI

David Serota, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1679501639
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M5493 Issued in TX
Practice address
9440 Poppy Dr
Dallas, TX 75218-3652
Phone
(214) 402-8106
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M5493 TX Primary

Addresses

Primary practice location

9440 Poppy Dr
Dallas, TX 75218-3652

Mailing address

PO Box 670654
Dallas, TX 75367-0654
Phone (214) 402-8106

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080408000582 TX Practitioner - Anesthesiology 4880656842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Anesthesia Consultants PLLCGroup PAC ID 7113231358, 13 clinicians

Practice addresses (Care Compare)

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114
Phone (972) 230-8888

Hospital & facility affiliations

  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Serota, MD, PA Anesthesiology CurrentSince Dec 14, 2007 Accepting new patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Burlington Anesthesia Associates, PA Anesthesiology Past Accepting new patients
Stratus Anesthesia Associates Southlake PLLC Anesthesiology PastSince Aug 9, 2013 Accepting new patients
Stratus Anesthesia Associates Fort Worth PLLC Anesthesiology PastSince Nov 1, 2014 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Anesthesiology PastSince Aug 28, 2008 Accepting new patients
Flying Ace Anesthesia Associates PLLC Anesthesiology Past Accepting new patients

Locations

7777 Forest Ln
Ste A240
Dallas, TX 75230
Phone (972) 566-4572

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 8

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.

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1679501639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670654",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670654",
            "telephone_number": "214-402-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 POPPY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183652",
            "telephone_number": "214-402-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROTA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.