Haitham Serhan, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2275608 Issued in MA

Practice address

40 East St
Middleton, MA 01949-1503

Phone

(978) 666-0777

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Yafa Health LLC

  • Nurse Practitioner
  • Ipswich, MA
  • NPI 1447935911
  Medicare reassignment NPD Authorized official
• HKD Outreach PC

  • Internal Medicine Physician
  • Mattapan, MA
  • NPI 1982082723
  Medicare reassignment NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1306461280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EAST ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EAST ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491503",
            "telephone_number": "978-666-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERHAN",
        "first_name": "HAITHAM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2275608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana J Santoro
• Bethany Saunders, PA
• Stephen Andrew Schillinger, D.O.
• Jeremy John Schleibaum, PA-C
• Lauren M Scola, PT
• Brian Silva, BS
• Brittany S Smith
• Erin E Smith, PHARMD
• Samantha Spagnuolo, LMHC
• Sports Medicine North Orthopaedic Surgery, Inc

• Nurse Practitioner in Middleton, MA
• Providers in Middleton, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.