Individual provider Active NPI

Michael Paul Serenari, C.O., B.O.C.O.

  • Orthotist
  • Belle Vernon, PA
National Provider Identifier
1285781484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
638 Rostraver Rd
Suite 102
Belle Vernon, PA 15012-1967
Phone
(724) 930-8544
Fax
(724) 930-8545
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary

Addresses

Primary practice location

638 Rostraver Rd
Suite 102
Belle Vernon, PA 15012-1967

Mailing address

638 Rostraver Rd
Suite 102
Belle Vernon, PA 15012-1967
Phone (724) 350-0457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285781484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "address_2": "SUITE 102",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-350-0457",
            "fax_number": "724-930-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "address_2": "SUITE 102",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-930-8544",
            "fax_number": "724-930-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENARI",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "C.O., B.O.C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.