Active NPI
Serafim Perdikis, MD
- Cardiovascular Disease Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- T7688
- Practice address
- Brooke Army Medical Center
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-6200 - Phone
- (210) 292-7400
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 241581 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 241581 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | T7688 | TX | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-6200
Mailing address
3851 Roger Brooke Dr
Department of Medicine
Fort Sam Houston, TX 78234-6200
Other practice location 1
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
Lackland AFB, TX 78236
Phone (210) 292-7400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- New York Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 Medical Dr
Suite 300
San Antonio, TX 78229-3824
Phone (210) 614-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241581 | NY | MD | Internal Medicine Physician |
Interoperability endpoints
- serafim.perdikis@hca7.eclinicaldirectplus.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.
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1487965000
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780786822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3851 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-292-7400"
}
],
"practiceLocations": [
{
"address_1": "Wilford Hall Ambulatory Surgical Center",
"address_2": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "Lackland AFB",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERDIKIS",
"first_name": "SERAFIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "241581",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "241581",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "T7688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.