Active NPI
Michael John Serou, MD, PHD
- Diagnostic Radiology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD.026018
- Practice address
- 1415 Tulane Ave
HC71
New Orleans, LA 70112-2600 - Phone
- (504) 988-5800
- NPI assigned
- Dec 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.026018 | LA | Primary |
Addresses
Primary practice location
1415 Tulane Ave
HC71
New Orleans, LA 70112-2600
Mailing address
1314 State St
New Orleans, LA 70118-6029
Phone (504) 717-0305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056189 | Medicaid | LA | |
| P00430662 | Other | LA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 Milk St
Boston, MA 02109-4806
Phone (617) 654-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Atrius Health, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Tulane University Medical Group | Past | Accepting new patients | |
| Administrators of the Tulane Education Fund | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#22
New Orleans, LA 70112
1415 Tulane Ave
Fl 2
New Orleans, LA 70112
Phone (504) 988-1200
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
Interoperability endpoints
- mseroumd381467@direct.atrius.masshiway.net
- https://fhir4.healow.com/fhir/r4/GCFJBA
Organizations & group practices 7
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.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Medford, MA
- NPI 1447464102
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1760872238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1396809471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 STATE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701186029",
"telephone_number": "504-717-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEROU",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.026018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1056189",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00430662",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.