Individual provider Active NPI

Richard Paul Serianni, M.D.

  • Anesthesiology Physician
  • Portsmouth, VA
National Provider Identifier
1740250844
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101246395 Issued in VA
Practice address
John Paul Jones Circle
Portsmouth, VA 23708-0001
Phone
(757) 953-3237
NPI assigned
Jan 23, 2006
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01055187A IN
Anesthesiology Physician 207L00000X 38905 SC
Anesthesiology Physician 207L00000X 0101246395 VA Primary

Addresses

Primary practice location

John Paul Jones Circle
Portsmouth, VA 23708-0001

Mailing address

105 Stumpy Lake CT
Suffolk, VA 23434-7559
Phone (757) 539-5349

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
389056MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180615001171 SC Practitioner - Anesthesiology 5395705131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055187AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 21, 2022 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Nov 2, 2021 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2023 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Apr 12, 2018 Accepting new patients
Musc Community Physicians Current Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Sep 21, 2022 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2023 Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

304 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-0700

Organizations & group practices 9

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 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740250844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STUMPY LAKE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347559",
            "telephone_number": "757-539-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237080001",
            "telephone_number": "757-953-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERIANNI",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01055187A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "38905",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101246395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389056",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.