John Peter Serlemitsos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0032654 Issued in MD

Practice address

2033 Penderbrooke Dr
Crownsville, MD 21032-1918

Phone

(443) 790-2689

Fax

(443) 292-8296

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Specialty

Internal Medicine

Education

University of Maryland School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
• Centerwell Home Health Home health agency, Columbia, MD, CCN 217071

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

State licenses

Practice roles

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.

• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Columbia, MD
  • NPI 1922963776
  NPD (past)
• Baltimore Washington Professional Services Inc.

  • Internal Medicine Physician
  • Millersville, MD
  • NPI 1851318943
  NPD (past)
• University of Maryland Pediatric Associates, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1083933444
  NPD (past)

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

• Amedisys Home Health of Maryland, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1831143908
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Columbia, MD
  • NPI 1922035880
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1861405367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 PENDERBROOKE DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321918",
            "telephone_number": "443-790-2689",
            "fax_number": "443-292-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 PENDERBROOKE DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321918",
            "telephone_number": "443-790-2689",
            "fax_number": "443-292-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLEMITSOS",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0032654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557101400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Second Genesis, Inc
• Second Genesis, Inc
• Second Genesis, Inc.
• David Semanco, MAC,CADC,CSAC,CAC-AD
• Serenity Acres Treatment Center LLC
• Sharkey Pediatric Occupational Therapy
• Kelly Grace Shaw
• Jinell Anne Smithmyer, LAC
• Gwinn Alene Spence, LGCP, CAC-AD
• Robert Jay Stern, MD

• Internal Medicine Physician in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.