Individual provider Active NPI

Sergio W. Larach, M.D.

  • Colon & Rectal Surgery Physician
  • Orlando, FL
National Provider Identifier
1790744878
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME25149 Issued in FL
Practice address
100 N Dean Rd
Suite 101
Orlando, FL 32825-3710
Phone
(407) 384-7388
Fax
(407) 384-7391
NPI assigned
Mar 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME25149 FL Primary

Addresses

Primary practice location

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710

Mailing address

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710
Phone (407) 384-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041119000652 FL Practitioner - Colorectal Surgery (Proctology) 7113982026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME25149FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endo-Surgical Center of Florida CurrentSince Sep 1, 2018 Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Cancer Center Inc Past Accepting new patients
Orlando Surgery Center II LTD PastSince Aug 23, 2007 Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients

Locations

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

100 N Dean Rd
Ste 100
Orlando, FL 32825

Interoperability endpoints

  • Direct secure messaging: sergio.larach@dlcfl.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1790744878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N DEAN RD",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253710",
            "telephone_number": "407-384-7388",
            "fax_number": "407-384-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DEAN RD",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253710",
            "telephone_number": "407-384-7388",
            "fax_number": "407-384-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACH",
        "first_name": "SERGIO",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-19",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME25149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.