Active NPI
Serenity OBGYN PLLC
- Obstetrics & Gynecology Physician
- Rochester Hills, MI
National Provider Identifier
1093590929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SERENITY OBGYN PLLC
- Practice address
- 3950 S Rochester Rd Ste 1450
Rochester Hills, MI 48307-5162 - Phone
- (248) 844-4550
- NPI assigned
- Aug 29, 2023
- Last updated
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dina Kassab, DO
- Title
- DO
- Phone
- (248) 379-0489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
3950 S Rochester Rd Ste 1450
Rochester Hills, MI 48307-5162
Mailing address
3950 S Rochester Rd Ste 1450
Rochester Hills, MI 48307-5162
Phone (248) 378-0489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Rochester Hills, MI
- NPI 1689253460
-
- Obstetrics & Gynecology Physician
- Rochester Hills, MI
- NPI 1205273315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1093590929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 S ROCHESTER RD STE 1450",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075162",
"telephone_number": "248-378-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 S ROCHESTER RD STE 1450",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075162",
"telephone_number": "248-844-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY OBGYN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-29",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "KASSAB",
"authorized_official_first_name": "DINA",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "248-379-0489",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.