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ANDRES SERRANO M.D.
NPI 1336354562
Internal Medicine - Nephrology in Chicago, IL

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1501 S CALIFORNIA AVE, KLING BUILDING, CHICAGO, IL 60608(773) 257-2000 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andres Serrano M.d. NPPES

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

ANDRES SERRANO M.D. (NPI 1336354562) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (36113370) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336354562
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameANDRES SERRANOCredential: M.D.
Location Address1501 S CALIFORNIA AVE, KLING BUILDINGChicago, IL 60608-1732
Mailing Address308 Jackson AveGlencoe, IL 60022-2128 · (847) 786-4561
Phone(773) 257-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 22, 2013
✔ NPI 1336354562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 36113370
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1501 S CALIFORNIA AVE, Chicago, IL 60608
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Andres Serrano 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 ID3072612563
PECOS Enrollment IDI20070625000346
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 Andres Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Sinai Community Foundation
Same address
Rural
1501 S CALIFORNIA AVE
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1104858125 (773) 257-2000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
316 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services32 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
46 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers14 claims14 services$17.63 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers14 claims14 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEPHANIE JORDAN
Community Health Worker
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. SURAIYA I ALVI M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
MOUNT SINAI COMMUNITY FOUNDATION
Physician Assistant (Surgical)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6663
DR. AMARDEEP SINGH M.D.
Emergency Medicine
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
DR. NANCY A SIBIGTROTH M.D.
Radiology (Diagnostic Radiology)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6498
DR. SHANTA NATH M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6184
DR. MOHAMMED AZHER KASSEM M.D
Internal Medicine
1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608
Cook County (773) 257-6120
ALYNA CHIEN MD
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6770

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 Andres Serrano's NPI number?

The NPI number for Andres Serrano is 1336354562. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Andres Serrano located?

Andres Serrano practices at 1501 S California Ave Kling Building, Chicago, IL 60608. The listed phone number is (773) 257-2000.

What is Andres Serrano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Andres Serrano enrolled in Medicare?

Yes. Andres Serrano 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 Andres Serrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andres Serrano reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, IL). 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 Andres Serrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andres Serrano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Andres 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.

Is Andres Serrano affiliated with any hospitals?

According to CMS data, Andres Serrano is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Andres Serrano was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.