NPIMap

Individual provider Active NPI

Steven John Serra, D.O.

  • Internal Medicine Physician
  • Riverview, MI
National Provider Identifier
1346225299
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101010372 Issued in MI
Practice address
16040 King Rd
Riverview, MI 48193-7947
Phone
(734) 479-4748
Fax
(734) 479-4821
NPI assigned
Dec 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101010372 MI Primary

Addresses

Primary practice location

16040 King Rd
Riverview, MI 48193-7947

Mailing address

16040 King Rd
Riverview, MI 48193-7947
Phone (734) 479-4748

Other identifiers 1

IdentifierTypeStateIssuer
3079686MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001314 MI Practitioner - Internal Medicine 7911192752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16040 King Rd
Riverview, MI 48193-7947

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010372MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J. Serra, D.O., P.C. Internal Medicine CurrentSince Sep 1, 1989 Accepting new patients
Douglas J Zakolski, D.O., P.C. Internal Medicine Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

16040 King Rd
Wyandotte, MI 48193
Phone (734) 479-4748

Interoperability endpoints

  • Direct secure messaging: sserra61455@direct.hfhs.org

Organizations & group practices 4

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 7

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346225299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937947",
            "telephone_number": "734-479-4748",
            "fax_number": "734-479-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937947",
            "telephone_number": "734-479-4748",
            "fax_number": "734-479-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRA",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101010372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.