Active NPI
Ileana Maria Serrano Herrera, MD
- Pediatric Nephrology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 339409
- Practice address
- 3959 Broadway FL Chn11
New York, NY 10032-1559 - Phone
- (212) 305-5825
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 312215-0 | NY | |
| Pediatric Nephrology Physician | 2080P0210X | 339409 | LA | Primary |
Addresses
Primary practice location
3959 Broadway FL Chn11
New York, NY 10032-1559
Mailing address
3959 Broadway FL Chn11
New York, NY 10032-1559
Phone (212) 305-5825
Other practice location 1
8200 Constantin Blvd Fl 4
Baton Rouge, LA 70809-3481
Phone (225) 765-5500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iserranoherrera5328318@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312215-0 | NY | MD | Pediatrics Physician |
| 339409 | LA | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group, LLC | Current | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Pediatrics | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Past | Accepting new patients | |
| Lsuhsc New Orleans Physicians | Pediatrics | Past | Accepting new patients |
Locations
8200 Constantin Blvd
Fl 4
Baton Rouge, LA 70809
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Interoperability endpoints
- ileana.serrano.1@18107.direct.athenahealth.com
- iserranoherrera5328318@direct.casso.us.com
Organizations & group practices 6
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Pediatrics
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1588062079
-
- Children's Hospital
- New Orleans, LA
- NPI 1104819366
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1447487145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- New Orleans, LA
- NPI 1104819366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1912492711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY FL CHN11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY FL CHN11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-5825"
}
],
"practiceLocations": [
{
"address_1": "8200 Constantin Blvd Fl 4",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708093481",
"country_code": "US",
"telephone_number": "225-765-5500",
"fax_number": "225-765-1202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRANO HERRERA",
"first_name": "ILEANA",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "312215-0",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "LA",
"license": "339409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iserranoherrera5328318@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "iserranoherrera5328318@direct.casso.us.com",
"address_1": "8200 Constantin Blvd Fl 4",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8200 Constantin Blvd Fl 4",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.