Individual provider Active NPI

Michael Sera, CRNA

  • Certified Registered Nurse Anesthetist
  • Stoughton, MA
National Provider Identifier
1366778870
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
234600 Issued in MA
Practice address
907 Sumner St
M201
Stoughton, MA 02072-3374
Phone
(781) 344-2325
Fax
(781) 341-8544
NPI assigned
Oct 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 234600 MA Primary

Addresses

Primary practice location

907 Sumner St
M201
Stoughton, MA 02072-3374

Mailing address

907 Sumner St
M201
Stoughton, MA 02072-3374
Phone (781) 344-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000480 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688713746 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 6, 2023 Accepting new patients
Matrix Anesthesia, PC CurrentSince Dec 1, 2011 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Mar 1, 2023 Accepting new patients
Atlantic Anesthesia, P.C. CurrentSince Feb 8, 2023 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 15, 2023 Accepting new patients
Cape Cod Anesthesia Associates, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 15, 2023 Accepting new patients
MVP Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

70 East St
Methuen, MA 01844
Phone (978) 682-1906

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

907 Sumner St
Ste M201
Stoughton, MA 02072

907 Sumner St
#M201
Stoughton, MA 02072
Phone (781) 923-6434

120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1366778870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST",
            "address_2": "M201",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723374",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST",
            "address_2": "M201",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723374",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERA",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "234600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.