EDDIE DIAZ SERRANO AUD
NPI 1043103377
Audiologist in Philadelphia, PA

Active since June 03, 2025
1101 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-6760 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eddie Diaz Serrano Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE DIAZ SERRANO AUD (NPI 1043103377) is an individual audiologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (AT007036) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1043103377
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameEDDIE DIAZ SERRANOCredential: AUD
Location Address1101 CHESTNUT STPhiladelphia, PA 19107-3612
Mailing Address1101 Chestnut StPhiladelphia, PA 19107-3612
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1043103377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in PA · AT007036
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1101 CHESTNUT ST, Philadelphia, PA 19107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddie Diaz Serrano Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Eddie Diaz Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1101 CHESTNUT ST
PHILA, PA 19107
Psychiatry & Neurology (Neurology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILA, PA 19107
Speech-Language Pathologist
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Diaz Serrano's NPI number?

The NPI number for Eddie Diaz Serrano is 1043103377. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Eddie Diaz Serrano located?

Eddie Diaz Serrano practices at 1101 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-6760.

What is Eddie Diaz Serrano's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Eddie Diaz Serrano enrolled in Medicare?

Yes. Eddie Diaz Serrano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eddie Diaz Serrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Diaz Serrano reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eddie Diaz Serrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddie Diaz Serrano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Eddie Diaz Serrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddie Diaz Serrano was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.