Individual provider Active NPI

Thomas J Serena, DO, MA

  • Vascular Surgery Physician
  • Kansas City, KS
National Provider Identifier
1174020382
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
05-53895 Issued in KS
Practice address
4000 Cambridge St
Kansas City, KS 66160-8500
Phone
(913) 588-1227
NPI assigned
Apr 12, 2018
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5151012245 MI
Vascular Surgery Physician 2086S0129X 05-53895 KS Primary

Addresses

Primary practice location

4000 Cambridge St
Kansas City, KS 66160-8500

Mailing address

12000 Aberdeen Rd
Leawood, KS 66209-1007
Phone (815) 474-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, MD, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250902000246 PA Practitioner - Vascular Surgery 8729341128 Reassigns benefits to 1 organization
I20251003000180 WV Practitioner - Vascular Surgery 8729341128 Reassigns benefits to 7 organizations
I20260202001855 MD Practitioner - Vascular Surgery 8729341128 Reassigns benefits to 1 organization
I20260429002445 OH Practitioner - Vascular Surgery 8729341128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

100 Woodlawn Ave
Uniontown, PA 15401-3105
Phone (724) 430-5600

251 N 4TH St
Oakland, MD 21550-1375
Phone (304) 598-4865

951 E Market St
Cadiz, OH 43907-9799
Phone (740) 942-4631

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Arts

State licenses

LicenseStateTypeSpecialty
5151012245MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital of Buckhannon Inc CurrentSince Sep 3, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 3, 2025 Accepting new patients
West Virginia University Medical Corporation Surgery CurrentSince Sep 3, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 3, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Aug 8, 2025 Accepting new patients
Wheeling Hospital Inc CurrentSince Sep 3, 2025 Accepting new patients
Camden-Clark Physician Corporation Surgery CurrentSince Sep 3, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 3, 2025 Accepting new patients
Fayette Physician Network Inc Surgery CurrentSince Aug 8, 2025 Accepting new patients
Fayette Physician Network Inc Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
St Josephs Hospital of Buckhannon Surgery PastSince Sep 3, 2025 Accepting new patients

Locations

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

10 Amalia Dr
Ste C7
Buckhannon, WV 26201
Phone (304) 460-7979

105 Nathan St
Elkins, WV 26241
Phone (304) 636-0133

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1174020382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ABERDEEN RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091007",
            "telephone_number": "815-474-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DO, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5151012245",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "05-53895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.