SERVE MD LLC
NPI 1285310581
Internal Medicine - Geriatric Medicine in Prescott Valley, AZ

Active since June 22, 2023CLIA 03D2309907 · Waiver
7900 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314(928) 493-9937(928) 304-7770 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Jul 24, 2024, Jun 22, 2023 (3 updates tracked since 2023).

About Serve Md Llc NPPES

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

SERVE MD LLC (NPI 1285310581) is a healthcare organization registered as a geriatric medicine in Prescott Valley, Arizona and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 21, 2028, maintains a secondary practice location in Cottonwood, and lists Raghav Mohindra, Owner, as its authorized official.

NPPES Registry Identity

NPI1285310581
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSERVE MD LLC
Location Address7900 E FLORENTINE RDPrescott Valley, AZ 86314-2218
Mailing Address7900 E Florentine RdPrescott Valley, AZ 86314-2218 · (928) 493-9937 · Fax (928) 304-7770
Fax(928) 304-7770
Organization SubpartNo
Authorized OfficialRaghav MohindraOwner · (928) 493-9937
Enumeration DateJune 22, 2023
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1285310581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
7900 E FLORENTINE RD, Prescott Valley, AZ 86314

Secondary Practice Location 1

Location 1203 S Candy Ln Ste 6ACottonwood, AZ 86326-8112 · Phone (928) 493-9937 · Fax (928) 304-7770

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serve Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Serve MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1912422452
7900 E FLORENTINE RD
Prescott Valley, AZ 86314
(928) 493-9937
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427210426
7900 E FLORENTINE RD
Prescott Valley, AZ 86314
(928) 493-9937
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437511896
2010 INJO DR
Lake Havasu City, AZ 86403
(928) 216-3160
✔ PECOS✔ Accepts Medicare115 mi
Internal Medicine
NPI 1013302884
1840 MESQUITE AVE OFC PE
Lake Havasu City, AZ 86403
(928) 208-4598
✔ PECOS✔ Accepts Medicare115 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2309907

Serve MD · Prescott Valley, AZ
Active · expires Aug 21, 2028
CLIA Number03D2309907
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2026
Certificate Expiration DateAugust 21, 2028
Laboratory DirectorRaghav Mohindra
Laboratory Phone(928) 493-9937
Laboratory LocationServe MD7900 E Florentine Rd, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Serve MD LLC's NPI number?

The NPI number for Serve MD LLC is 1285310581. It was assigned to this organization in the NPPES registry on June 22, 2023.

Where is Serve MD LLC located?

Serve MD LLC is located at 7900 E Florentine Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 493-9937.

What is Serve MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Serve MD LLC enrolled in Medicare?

Yes. Serve MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serve MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Serve MD LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Serve MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2309907) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serve MD LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.