Individual provider Active NPI

Ali Yasser El Sergany, M.D.

  • Family Medicine Physician
  • Riviera Beach, FL
National Provider Identifier
1871650002
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN0000152 Issued in FL
Practice address
7289 Garden Rd
Riviera Beach, FL 33404-4917
Phone
(561) 804-7900
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN0000152 FL Primary

Addresses

Primary practice location

7289 Garden Rd
Riviera Beach, FL 33404-4917

Mailing address

299 Palm Ave
Jupiter, FL 33477-5977
Phone (561) 743-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200116001854 HI Practitioner - General SurgeryPractitioner - Family Practice 8729413943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Vascular Associates LLCGroup PAC ID 9537598859, 12 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 620
Aiea, HI 96701-4716
Phone (808) 784-3050

Merit-based Incentive Payment System (MIPS)

Final score
65.15 of 100Reported as group
Quality
16.73
Improvement activities
40
Cost
78.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN0000152FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell N Harada MD Inc CurrentSince Dec 1, 2019 Accepting new patients
Aloha Wound Care Group LLC CurrentSince Dec 17, 2018 Accepting new patients
Pacific Vascular Associates, LLC CurrentSince Apr 1, 2020 Accepting new patients
Pacific Vascular Institute-Kona CurrentSince Nov 1, 2020 Accepting new patients

Locations

99-115 Aiea Heights Dr
#276B
Aiea, HI 96701

99-115 Aiea Heights Dr
Ste 246
Aiea, HI 96701
Phone (808) 384-3050

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

99-115 Aiea Heights Dr
Ste 276B
Aiea, HI 96701
Phone (352) 870-7393

99-115 Aiea Heights Dr
Ste 276
Aiea, HI 96701
Phone (808) 486-7775

91-2127 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 691-3000

75 Puuhonu Pl
Ste 204
Hilo, HI 96720
Phone (808) 731-7409

1401 S Beretania St
Ste 380
Honolulu, HI 96814
Phone (808) 444-3477

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

405 N Kuakini St
Ste 1107
Honolulu, HI 96817
Phone (808) 521-9154

75-184 Hualalai Rd
Ste 100-101
Kailua Kona, HI 96740
Phone (805) 975-7463

71 Kanoa St
#2
Wailuku, HI 96793

Organizations & group practices 4

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1871650002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 PALM AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775977",
            "telephone_number": "561-743-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7289 GARDEN RD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044917",
            "telephone_number": "561-804-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL SERGANY",
        "first_name": "ALI",
        "middle_name": "YASSER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN0000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

Verify at the official NPI Registry.