EDUARDO XAVIER SERPA BOJORQUE MD
NPI 1598325987
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Eduardo Xavier Serpa Bojorque Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDUARDO XAVIER SERPA BOJORQUE MD (NPI 1598325987) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eduardo Xavier Serpa Bojorque Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eduardo Serpa Bojorque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 296 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.
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.
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 Eduardo Serpa Bojorque's NPI number?
The NPI number for Eduardo Serpa Bojorque is 1598325987. It was assigned to this individual provider in the NPPES registry on June 18, 2019.
Where is Eduardo Serpa Bojorque located?
Eduardo Serpa Bojorque practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-6604.
What is Eduardo Serpa Bojorque's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Eduardo Serpa Bojorque enrolled in Medicare?
Yes. Eduardo Serpa Bojorque is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eduardo Serpa Bojorque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Serpa Bojorque reassigns Medicare benefits to Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, 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 Eduardo Serpa Bojorque'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 Eduardo Serpa Bojorque was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Eduardo Xavier Serpa Bojorque, MD · NPI 1598325987
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1598325987 (Entity type: Individual)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 121 DEKALB AVE, Brooklyn, NY 11201-5493
- **Phone:** (718) 250-6604 · **Fax:** (718) 250-6605
## 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:** Physician Services Corporation Of Southern Illinois Inc. (NPI 1831101807, Mount Vernon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1598325987) · Data from the CMS NPPES public registry.