Active NPI
Rod D Serry, M.D.
- Interventional Cardiology Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A76061
- Practice address
- 1955 W Citracado Pkwy
Suite 300
Escondido, CA 92029-4113 - Phone
- (760) 743-0546
- Fax
- (760) 743-8837
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A76061 | CA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 036102630 | IL |
Addresses
Primary practice location
1955 W Citracado Pkwy
Suite 300
Escondido, CA 92029-4113
Mailing address
PO Box 28199
San Diego, CA 92198-0199
Phone (858) 673-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912945130 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Interventional Cardiology
- Education
- Rush Medical College of Rush University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
1955 Citracado Pkwy
Suite 302
Escondido, CA 92029-4113
Phone (760) 233-1896
2125 Citracado Pkwy
Escondido, CA 92029-4159
Hospital & facility affiliations
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.02 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 76.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76061 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Arch Health Partners, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Madi Med LLC | Cardiovascular Disease | Current | Accepting new patients |
| Palomar Health | Past | Accepting new patients |
Locations
1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109
1955 Citracado Pkwy
Ste 300
Escondido, CA 92029
Phone (760) 294-1281
2130 Citracado Pkwy
Ste 220
Escondido, CA 92029
Phone (619) 823-3146
488 E Valley Pkwy
Ste 201
Escondido, CA 92025
Phone (760) 489-1458
15611 Pomerado Rd
Ste 580
Poway, CA 92064
Phone (858) 592-2696
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
15720 Bernardo Center Dr
San Diego, CA 92127
Phone (858) 500-2693
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rserry42719@scrippshlth.medalliesdirect.net
- rod.serry.p1@direct.arch.nextgenshare.com
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.
-
- Cardiovascular Disease Physician
- Escondido, CA
- NPI 1861210767
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1912945130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28199",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921980199",
"telephone_number": "858-673-2574",
"fax_number": "858-618-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W CITRACADO PKWY",
"address_2": "SUITE 300",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294113",
"telephone_number": "760-743-0546",
"fax_number": "760-743-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRY",
"first_name": "ROD",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A76061",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036102630",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912945130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.