TEODORO EDMUNDO JERVES SERRANO MD
NPI 1376098095
Medical Genetics - Clinical Biochemical Genetics in New Haven, CT

Q: What is Teodoro Jerves Serrano's NPI number?

The NPI number for Teodoro Jerves Serrano is 1376098095. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Teodoro Jerves Serrano's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Biochemical Genetics, with taxonomy code 207SG0202X.

Active since August 23, 2016PECOS EnrolledAccepts Medicare Assignment

1 LONG WHARF DR, NEW HAVEN, CT 06511(877) 925-3637(203) 688-4542 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2023, Aug 23, 2016 (2 updates tracked since 2016).

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About Teodoro Edmundo Jerves Serrano Md NPPES

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

TEODORO EDMUNDO JERVES SERRANO MD (NPI 1376098095) is an individual clinical biochemical genetics provider in New Haven, Connecticut, licensed in Connecticut (71983) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376098095

Entity TypeIndividualMale

Primary Taxonomy207SG0202X

Provider Legal NameTEODORO EDMUNDO JERVES SERRANOCredential: MD

Location Address1 LONG WHARF DRNew Haven, CT 06511-5991

Mailing Address333 Cedar St # 313New Haven, CT 06510-3206 · (203) 737-2451

Phone(877) 925-3637

Fax(203) 688-4542

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 23, 2016

Last NPPES UpdateApril 5, 20232 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1376098095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Biochemical GeneticsAllopathic & Osteopathic Physicians

Taxonomy Code207SG0202X

License✔ Licensed in CT · 71983

Definition

A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.

1 LONG WHARF DR, New Haven, CT 06511

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Secondary Practice Location 1

Location 11 Park St Fl 2New Haven, CT 06504-8901 · Phone (203) 785-3696

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

Teodoro Edmundo Jerves Serrano Md 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 ID8224499751

PECOS Enrollment IDI20230801001301

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 Teodoro Jerves Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University

0.8 mi

Advanced Practice Midwife

100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1124148887 (203) 737-5432

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.

DR. NEEMA DAD DDS

Student in an Organized Health Care Education/Training Program

1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 688-3000

ASHLEY ANTONUCCI DNP- FNP

Nurse Practitioner (Family)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 688-8800

JEANETTE M TETRAULT MD

Internal Medicine

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

HEIDI CLARKE LPN

Licensed Practical Nurse

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

DR. LAUREL EDWARDS PSY.D.

Psychologist

1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 974-5775

MRS. JOANNA SAMOSKEVICH

Nurse Practitioner (Family)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 785-7689

DONNA LAPAGLIA PSY.D.

Psychologist (Clinical)

1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 974-5734

JENNIFER LOYA PHD

Psychologist

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 974-5726

STUART M BAKER LADC

Counselor (Addiction (Substance Use Disorder))

1 LONG WHARF DR, STE 10
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

OBINNA ANOSIKE

Family Medicine

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4444

MS. ARLIAN SMITH PA-C

Physician Assistant (Medical)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 688-8800

CHRISTINA HENDERSON LPN

Licensed Practical Nurse

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

PEDIATRIC & MEDICAL ASSOCIATES, P.C.

Pediatrics

1 LONG WHARF DR, SUITE 105
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 865-3737

MS. JACQUELINE M MURPHY R.PH.

Pharmacist

1 LONG WHARF DR, HANCOCK PHARMACY AT LONG WHARF
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 787-9908

DR. BARRY A ROTHMAN DDS

Dentist (General Practice)

1 LONG WHARF DR, SUITE 221
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4288

DR. ANNA ELISABETH DENOBLE MD, MSC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (413) 686-0994

DR. MYER B SHIMELMAN MD

Psychiatry & Neurology (Psychiatry)

1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 624-5522

BEVERLY BRAZZELL LPN

Licensed Practical Nurse

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

KENNETH MORFORD M.D.

Internal Medicine

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

HEATHER M KNOX LPC

Counselor (Professional)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

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 Teodoro Jerves Serrano's NPI number?

The NPI number for Teodoro Jerves Serrano is 1376098095. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Teodoro Jerves Serrano located?

Teodoro Jerves Serrano practices at 1 Long Wharf Dr, New Haven, CT 06511. The listed phone number is (877) 925-3637.

What is Teodoro Jerves Serrano's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Biochemical Genetics, with taxonomy code 207SG0202X.

Is Teodoro Jerves Serrano enrolled in Medicare?

Yes. Teodoro Jerves 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 Teodoro Jerves Serrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teodoro Jerves Serrano reassigns Medicare benefits to Yale University (New Haven, CT). 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 Teodoro Jerves Serrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teodoro Jerves Serrano was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.