Marcjonathan Serota, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

52146 Issued in CO

Practice address

2009 W Littleton Blvd Ste 100
Littleton, CO 80120-2003

Phone

(303) 221-4444

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NY, AL, IL, GA5 enrollments

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 5

Specialty

DermatologyAlso: Allergy/Immunology

Education

Univ of Missouri-Kansas City School of Dentistry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Colorado LLCGroup PAC ID 8921354341, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: marc.serota@epiphanyderm.emadirect.md

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.

• Epiphany Dermatology of Colorado, LLC

  • Dermatology Physician
  • Denver, CO
  • NPI 1992297469
  Medicare reassignment Care Compare group NPD
• Marcjonathan Serota MD, P.C.

  • Dermatology Physician
  • Bayside, NY
  • NPI 1598481251
  Medicare reassignment NPD Authorized official
• Peak Dermatology Professional LLC

  • Procedural Dermatology Physician
  • Littleton, CO
  • NPI 1932479961
  Medicare reassignment NPD
• Family Skin Specialists LLC

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1194567701
  Medicare reassignment NPD
• Healthtap Medical Group, P.C.

  • General Practice Physician
  • Portola Valley, CA
  • NPI 1518330539

  AL, IL, NY

  Medicare reassignment
• Mdi Medical Group PC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1457036295
  NPD
• Halite Services Crop

  • Dermatology Physician
  • Rockville Centre, NY
  • NPI 1174163406
  NPD

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1740410463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROSE LN",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701429",
            "fax_number": "844-804-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 W LITTLETON BLVD STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202003",
            "telephone_number": "303-221-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROTA",
        "first_name": "MARCJONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "0052146",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CO",
            "license": "52146",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "52146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.