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JORGE L SERRA MD PA
NPI 1821246489
Internal Medicine in Bonita Springs, FL

Active since September 08, 2008CLIA 10D1091403 · Waiver
3501 HEALTH CENTER BLVD, SUITE 2190, BONITA SPRINGS, FL 34135(239) 221-8475(239) 221-8487 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jorge L Serra Md Pa NPPES

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

JORGE L SERRA MD PA (NPI 1821246489) is a healthcare organization registered as an internal medicine in Bonita Springs, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Jorge L Serra, Owner, as its authorized official.

NPPES Registry Identity

NPI1821246489
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJORGE L SERRA MD PA
Location Address3501 HEALTH CENTER BLVD, SUITE 2190Bonita Springs, FL 34135-8133
Mailing Address3501 Health Center Blvd, Suite 2190Bonita Springs, FL 34135-8133 · (239) 221-8475 · Fax (239) 221-8487
Phone(239) 221-8475
Fax(239) 221-8487
Organization SubpartNo
Authorized OfficialJorge L SerraOwner · (239) 221-8475
Enumeration DateSeptember 8, 2008
Last NPPES UpdateDecember 3, 2009
✔ NPI 1821246489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3501 HEALTH CENTER BLVD, Bonita Springs, FL 34135
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge L Serra Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jorge L Serra MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge Serra, MD
Internal Medicine
NPI 1841287208
3501 HEALTH CENTER BLVD SUITE 2190
Fort Myers, FL 33908
(239) 221-8475
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1091403

Jorge L Serra MD PA · Estero, FL
Active · expires Oct 30, 2026
CLIA Number10D1091403
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorJorge L. Serra
Laboratory Phone(239) 221-8475
Laboratory LocationJorge L Serra MD PA3501 Health Center Blvd Suite 2145, Estero, FL 34135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jorge L Serra MD PA's NPI number?

The NPI number for Jorge L Serra MD PA is 1821246489. It was assigned to this organization in the NPPES registry on September 8, 2008.

Where is Jorge L Serra MD PA located?

Jorge L Serra MD PA is located at 3501 Health Center Blvd Suite 2190, Bonita Springs, FL 34135. The listed phone number is (239) 221-8475.

What is Jorge L Serra MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge L Serra MD PA enrolled in Medicare?

Yes. Jorge L Serra MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jorge L Serra MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jorge L Serra MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jorge L Serra MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1091403) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jorge L Serra MD PA was last updated on December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.