Individual provider Active NPI

Scott R Serels, M.D.

  • Specialist
  • Norwalk, CT
National Provider Identifier
1972695054
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
037477 Issued in CT
Practice address
12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone
(203) 853-4200
Fax
(203) 299-1938
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 037477 CT Primary
Urology Physician 208800000X 037477 CT

Addresses

Primary practice location

12 Elmcrest Ter
Norwalk, CT 06850-3937

Mailing address

12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone (203) 853-4200

Other identifiers 8

IdentifierTypeStateIssuer
001374777MedicaidCT
340017119OtherCTRAILROAD MEDICARE
5527626OtherCTAETNA
0V5091OtherCTHEALTHNET
765504OtherCTCONNECTICARE
010037477CT01OtherCTANTHEM BC BS
P1259371OtherCTOXFORD
0684829002OtherCTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110110000143 CT Practitioner - Urology 3072636737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York University Medical College - NLG, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Norwalk PCGroup PAC ID 0547278491, 3 clinicians

Practice addresses (Care Compare)

12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone (203) 853-4200

12 Elmcrest Terrace
Norwalk, CT 06850-3937

Urology Associates of Norwalk PC
12 Elmcrest Terrace
Norwalk, CT 06850-3937

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
21.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037477CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Norwalk,PC Specialist CurrentSince Jul 1, 1999 Accepting new patients

Locations

5200 Blue Lagoon Dr
Ste 900
Miami, FL 33126

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1972695054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELMCREST TER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503937",
            "telephone_number": "203-853-4200",
            "fax_number": "203-299-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELMCREST TER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503937",
            "telephone_number": "203-853-4200",
            "fax_number": "203-299-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERELS",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "037477",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "037477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001374777",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340017119",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5527626",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V5091",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "765504",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "010037477CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1259371",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0684829002",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.