Active NPI
Christopher Francis Serpico, PA
- Physician Assistant
- Palos Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085000758
- Practice address
- 10330 S Roberts Rd Ste 2
Palos Hills, IL 60465-1971 - Phone
- (708) 581-3570
- Fax
- (708) 581-3580
- NPI assigned
- Aug 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085000758 | IL | Primary |
Addresses
Primary practice location
10330 S Roberts Rd Ste 2
Palos Hills, IL 60465-1971
Mailing address
10330 S Roberts Rd Ste 2
Palos Hills, IL 60465-1971
Phone (708) 581-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085-000758 | Other | IL | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cserpico284249@direct.myadvocateaurora.org | ||
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10330 S Roberts Rd
Palos Hills, IL 60465-1971
Phone (708) 237-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085000758 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Hospital | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Midamerica Orthopaedics, S.C. | Current | Accepting new patients |
Locations
19065 Hickory Creek Dr
Ste 210
Mokena, IL 60448
Phone (708) 237-7200
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200
10330 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 233-5644
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- cserpico284249@direct.myadvocateaurora.org
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.
-
- Orthopaedic Surgery Physician
- Palos Hills, IL
- NPI 1710114418
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- Home Health Agency
- Naperville, IL
- NPI 1912930645
-
- Orthopaedic Surgery Physician
- Mokena, IL
- NPI 1700140613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1992999148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 S ROBERTS RD STE 2",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651971",
"telephone_number": "708-581-3570",
"fax_number": "708-581-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 S ROBERTS RD STE 2",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651971",
"telephone_number": "708-581-3570",
"fax_number": "708-581-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERPICO",
"first_name": "CHRISTOPHER",
"middle_name": "FRANCIS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085000758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "085-000758",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cserpico284249@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "10330 S Roberts Rd Ste 2",
"city": "Palos Hills",
"state": "IL",
"country_code": "US",
"postal_code": "604651971",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10330 S Roberts Rd Ste 2",
"city": "Palos Hills",
"state": "IL",
"country_code": "US",
"postal_code": "604651971",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.