DR. NICOLAS CORTEZ SERANIO M.D.
NPI 1275095242
Urology in Duarte, CA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
1500 DUARTE RD, DUARTE, CA 91010(800) 826-4673 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicolas Cortez Seranio M.d. NPPES

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

DR. NICOLAS CORTEZ SERANIO M.D. (NPI 1275095242) is an individual urology provider in Duarte, California, licensed in California (A179889) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2019).

NPPES Registry Identity

NPI1275095242
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NICOLAS CORTEZ SERANIOCredential: M.D.
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1275095242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A179889
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1500 DUARTE RD, Duarte, CA 91010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicolas Cortez Seranio M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385023308
PECOS Enrollment IDI20250501002790
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicolas Seranio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
1500 DUARTE RD
Duarte, CA 91010
  • Reassigned Medicare billing, California enrollment
  • 1,335 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010

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 Nicolas Seranio's NPI number?

The NPI number for Nicolas Seranio is 1275095242. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Nicolas Seranio located?

Nicolas Seranio practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (800) 826-4673.

What is Nicolas Seranio's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nicolas Seranio enrolled in Medicare?

Yes. Nicolas Seranio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicolas Seranio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Seranio reassigns Medicare benefits to City Of Hope Medical Foundation (Duarte, CA). 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 Nicolas Seranio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolas Seranio accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Nicolas Seranio 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 Nicolas Seranio was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.