Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN SERBIN
NPI 1518540533
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since April 29, 2021PECOS Enrolled
1400 SCOTT AVE, CHARLOTTE, NC 28203(704) 304-5000 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2026, Apr 29, 2021 (2 updates tracked since 2021).

About Ryan Serbin NPPES

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

RYAN SERBIN (NPI 1518540533) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518540533
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN SERBIN
Location Address1400 SCOTT AVECharlotte, NC 28203-5844
Mailing Address4122 Polluck WayCharlotte, NC 28209-4992
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
NPI 1518540533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 SCOTT AVE, Charlotte, NC 28203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Serbin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Lodging
1400 SCOTT AVE
CHARLOTTE, NC 28203

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 Ryan Serbin's NPI number?

The NPI number for Ryan Serbin is 1518540533. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Ryan Serbin located?

Ryan Serbin practices at 1400 Scott Ave, Charlotte, NC 28203. The listed phone number is (704) 304-5000.

What is Ryan Serbin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Serbin enrolled in Medicare?

Yes. Ryan Serbin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Serbin was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.