Active NPI
Mariastella Serrano, MD
- Pediatric Gastroenterology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MD045865
- Practice address
- 4200 Wisconsin Ave NW Ste 400
Washington, DC 20016-2100 - Phone
- (202) 243-3558
- Fax
- (877) 680-5504
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | MD045865 | DC | Primary |
Addresses
Primary practice location
4200 Wisconsin Ave NW Ste 400
Washington, DC 20016-2100
Mailing address
4200 Wisconsin Ave NW Ste 400
Washington, DC 20016-2100
Phone (202) 243-3558
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435776 | Medicaid | IA | |
| 1113905 | Medicaid | LA | |
| 08172388 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
6410 Rockledge Dr
Bethesda, MD 20817-1844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045865 | DC | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
4200 Wisconsin Ave NW
Ste 200
Washington, DC 20016
Phone (267) 825-2184
4200 Wisconsin Ave NW
Ste 400
Washington, DC 20016
Phone (202) 243-3558
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Organizations & group practices 8
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1922080126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162100",
"telephone_number": "202-243-3558",
"fax_number": "877-680-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162100",
"telephone_number": "202-243-3558",
"fax_number": "877-680-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "MARIASTELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "DC",
"license": "MD045865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435776",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1113905",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08172388",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.