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Individual provider Active NPI

Serge Lartchenko, MD

  • Infectious Disease Physician
  • Richardson, TX
National Provider Identifier
1992787089
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
M8115 Issued in TX
Practice address
2821 E President George Bush Hwy
Suite 500
Richardson, TX 75082-4266
Phone
(469) 206-6957
Fax
(469) 206-6953
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M8115 TX
Infectious Disease Physician 207RI0200X 026361 LA
Infectious Disease Physician 207RI0200X M8115 TX Primary

Addresses

Primary practice location

2821 E President George Bush Hwy
Suite 500
Richardson, TX 75082-4266

Mailing address

2821 E President George Bush Hwy
Suite 500
Richardson, TX 75082-4266
Phone (469) 206-6957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000768 TX Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Emergency Medicine 3476516907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serge Lartchenko M.D., PLLC 8 clinicians

Practice addresses (Care Compare)

2821 E President George Bush Hwy
Suite 500
Richardson, TX 75082-4278
Phone (972) 533-1037

Hospital & facility affiliations

  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as individual
Quality
87.7
Improvement activities
40
Cost
61.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serge Lartchenko M.D., PLLC CurrentSince Nov 6, 2009 Accepting new patients
Dallas Hospitalist, PA Past Accepting new patients
Texas Em-1 Medical Services PA Past Accepting new patients
Chapel Emergency Physicians PLLC Past Accepting new patients
Taylor Emergency Medicine Associates PA Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Americare Medical Group, Inc. Infectious Disease Past Accepting new patients
Athens Emergency Medicine Associates PA Past Accepting new patients

Locations

208 W Kearney St
Ste 107
Mesquite, TX 75149
Phone (214) 796-0398

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

2821 George Bush Hwy
Ste 500
Richardson, TX 75082
Phone (469) 206-6957

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.

Hospital & facility affiliations 2

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1992787089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "469-206-6957",
            "fax_number": "469-206-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "469-206-6957",
            "fax_number": "469-206-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTCHENKO",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M8115",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "026361",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M8115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.