Sherif M. Serag, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME76807 Issued in FL

Practice address

1152 62ND Ave S
St Petersburg, FL 33705-5620

Phone

(727) 866-6306

Fax

(727) 864-9614

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHCCAA/Endpoint/IHCCAA
• FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

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.

• St Marys Family Practice Center

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1487866687
  Medicare reassignment NPD Authorized official
• Community Hospitalists of Pinella

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1215910260
  NPD (past)
• Elias Kanaan MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1538177928
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1881657658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 62ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055620",
            "telephone_number": "727-866-6306",
            "fax_number": "727-864-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 62ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055620",
            "telephone_number": "727-866-6306",
            "fax_number": "727-864-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAG",
        "first_name": "SHERIF",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254945000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "593534929",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Susan Sens, RT,RDMS,RDCS,RVT,BA
• Sensible Health Care Solutions LLC
• Sentry Psychological Services PLLC
• Sequential Genetics LLC
• Sequoia Behavioral Therapy
• Jessie Bardin Sereda, ARNP
• Serenity Clinic LLC
• Serenity House Afch
• Serenity Love and Care LLC
• Serenity Xcelled Counseling LLC

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.