Individual provider Active NPI

Washington Fitzgerald Sereatan, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1750351698
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K7890 Issued in TX
Practice address
2525 North Loop W Ste 600
Houston, TX 77008-1094
Phone
(713) 866-6201
Fax
(713) 866-6202
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K7890 TX Primary

Addresses

Primary practice location

2525 North Loop W Ste 600
Houston, TX 77008-1094

Mailing address

2525 North Loop W Ste 600
Houston, TX 77008-1094
Phone (713) 866-6201

Other practice location 1

915 Gessner Rd
#360
Houston, TX 77024-2527
Phone (713) 468-5440 ext. 14

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
I20100427000774 TX Practitioner - Nephrology 9234159914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Wake Forest University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Kidney Center, PLLCGroup PAC ID 3779844691, 5 clinicians

Practice addresses (Care Compare)

2525 N Loop W
Suite 600
Houston, TX 77008-1094
Phone (713) 866-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Global Kidney Center, PLLC Nephrology CurrentSince May 4, 2020 Accepting new patients

Locations

2525 North Loop W
Ste 600
Houston, TX 77008
Phone (713) 637-6320

Interoperability endpoints

  • Direct secure messaging: wsereatan23953@direct.acumenmd.com

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1750351698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NORTH LOOP W STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081094",
            "telephone_number": "713-866-6201",
            "fax_number": "713-866-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NORTH LOOP W STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081094",
            "telephone_number": "713-866-6201",
            "fax_number": "713-866-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Gessner Rd",
            "address_2": "#360",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242527",
            "country_code": "US",
            "telephone_number": "713-468-5440 x14",
            "fax_number": "713-973-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEREATAN",
        "first_name": "WASHINGTON",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K7890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.