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

DR. RICARDO ANTONIO SERRANO POBLETE MD
NPI 1659012300
Psychiatry & Neurology - Psychiatry in Indianapolis, IN

Active since April 06, 2022PECOS Enrolled
355 W. 16TH STREET, #2364. INDIANAPOLIS, IN 46202, INDIANAPOLIS, IN 46202(317) 963-7288 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Apr 7, 2026, Mar 27, 2026 and 1 more (4 updates tracked since 2022).

About Dr. Ricardo Antonio Serrano Poblete Md NPPES

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

DR. RICARDO ANTONIO SERRANO POBLETE MD (NPI 1659012300) is an individual psychiatry provider in Indianapolis, Indiana, licensed in Indiana (11022552A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1659012300
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RICARDO ANTONIO SERRANO POBLETECredential: MD
Location Address355 W. 16TH STREET, #2364. INDIANAPOLIS, IN 46202Indianapolis, IN 46202
Mailing Address355 W 16th St Ste 2364Indianapolis, IN 46202-2279 · (317) 963-7288
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 6, 2022
Last NPPES UpdateOctober 20, 20264 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1659012300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IN · 11022552A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 11022552A (IN)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 11022552A (IN)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 11022552A (IN)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 11022552A (IN)
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
355 W. 16TH STREET, #2364. INDIANAPOLIS, IN 46202, Indianapolis, IN 46202

Secondary Practice Location 1

Location 18401 Harcourt RdIndianapolis, IN 46260-2036 · Phone (317) 338-4600 · Fax (317) 338-4750

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ricardo Antonio Serrano Poblete Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648651125
PECOS Enrollment IDI20260707000619
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 Ricardo Serrano Poblete reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
8401 HARCOURT RD
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 99 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ricardo Serrano Poblete's NPI number?

The NPI number for Ricardo Serrano Poblete is 1659012300. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Ricardo Serrano Poblete located?

Ricardo Serrano Poblete practices at 355 W. 16th Street, #2364. Indianapolis, In 46202, Indianapolis, IN 46202. The listed phone number is (317) 963-7288.

What is Ricardo Serrano Poblete's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ricardo Serrano Poblete enrolled in Medicare?

Yes. Ricardo Serrano Poblete is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ricardo Serrano Poblete's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Serrano Poblete reassigns Medicare benefits to St. Vincent Hospital & Health Care Center, Inc. (Indianapolis, IN). 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 Ricardo Serrano Poblete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Serrano Poblete accept?

Health plans from Anthem Blue Cross and Blue Shield list Ricardo Serrano Poblete 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.

When was this NPI record last updated?

The NPPES record for Ricardo Serrano Poblete was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.