DR. CARLOS MARIO RIVERA SERRANO M.D.
NPI 1497910905
Surgery - Plastic and Reconstructive Surgery in Bay Harbor Islands, FL
About Dr. Carlos Mario Rivera Serrano M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS MARIO RIVERA SERRANO M.D. (NPI 1497910905) is an individual plastic and reconstructive surgery provider in Bay Harbor Islands, Florida, licensed in Florida (ME148629) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Carlos Mario Rivera Serrano M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlos Rivera Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 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.
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 Carlos Rivera Serrano's NPI number?
The NPI number for Carlos Rivera Serrano is 1497910905. It was assigned to this individual provider in the NPPES registry on July 23, 2008.
Where is Carlos Rivera Serrano located?
Carlos Rivera Serrano practices at 1111 Kane Concourse Ste 111, Bay Harbor Islands, FL 33154. The listed phone number is (617) 755-9404.
What is Carlos Rivera Serrano's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Carlos Rivera Serrano enrolled in Medicare?
Yes. Carlos Rivera Serrano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlos Rivera Serrano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Rivera Serrano reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, 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 Carlos Rivera 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 Carlos Rivera Serrano was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Carlos Mario Rivera Serrano, M.D. · NPI 1497910905
Plastic and Reconstructive Surgery physician in Bay Harbor Islands, Florida. Individual provider, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1497910905 (Entity type: Individual)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** ME148629 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 KANE CONCOURSE STE 111, Bay Harbor Islands, FL 33154-2039
- **Phone:** (617) 755-9404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497910905) · Data from the CMS NPPES public registry.