Active NPI
Derek Steven Serna, M.D.
- Hematology & Oncology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 69134
- Practice address
- N16W24131 Riverwood Dr
Waukesha, WI 53188-1106 - Phone
- (262) 696-5690
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35091934 | OH | |
| Hematology & Oncology Physician | 207RH0003X | 01069267A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 69134 | WI | Primary |
Addresses
Primary practice location
N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Mailing address
N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-5690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201035110 | Medicaid | IN | |
| 000000721848 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Medical College of Wisconsin, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808
Hospital & facility affiliations
- Prohealth Home Hospice
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091934 | OH | MD | Hematology & Oncology Physician |
| 69134 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients |
Locations
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696
Interoperability endpoints
- dserna85414@direct.phci.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1720371719
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Waukesha, WI
- NPI 1356316160
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1205044773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N16W24131 RIVERWOOD DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881106",
"telephone_number": "262-696-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N16W24131 RIVERWOOD DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881106",
"telephone_number": "262-696-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "DEREK",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35091934",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01069267A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "69134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201035110",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000721848",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.