Organization Active NPI

Serenity Medical Weight Loss Clinic LLC

  • Internal Medicine Physician
  • Nashua, NH
National Provider Identifier
1003608225
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SERENITY MEDICAL WEIGHT LOSS CLINIC LLC
Practice address
154 Broad St Ste 1510
Nashua, NH 03063-3207
Phone
(617) 272-7057
Fax
(949) 864-3519
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Xiaoxi Ouyang, MDNPI 1649479064
Title
Owner
Phone
(617) 272-7057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

154 Broad St Ste 1510
Nashua, NH 03063-3207

Mailing address

154 Broad St Ste 1510
Nashua, NH 03063-3207
Phone (617) 272-7057

Other names 1

  • Serenity Primary Care and Medical Weight Loss Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910002989 NH Part B Supplier - Clinic/Group Practice 5496258071 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2329730Serenity Primary Care & Medical Weight Loss154 Broad St, Ste 1510, Nashua, NH 03063Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

154 Broad St
Ste 1510
Nashua, NH 03063
Phone (617) 272-7057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1003608225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1510",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633207",
            "telephone_number": "617-272-7057",
            "fax_number": "949-864-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1510",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633207",
            "telephone_number": "617-272-7057",
            "fax_number": "949-864-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL WEIGHT LOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "OUYANG",
        "authorized_official_first_name": "XIAOXI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-272-7057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Primary Care and Medical Weight Loss Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.