Active NPI
Serene Samir Srouji, MD
- Reproductive Endocrinology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 217592
- Practice address
- Department of Obstetrics and Gynecology
75 Francis Street Asb1
Boston, MA 02115 - Phone
- (617) 732-4648
- Fax
- (617) 975-0870
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 217592 | MA | Primary |
Addresses
Primary practice location
Department of Obstetrics and Gynecology
75 Francis Street Asb1
Boston, MA 02115
Mailing address
Department of Obstetrics and Gynecology
75 Francis Street Asb1
Boston, MA 02115
Phone (617) 732-4648
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Johns Hopkins University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217592 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Reproductive Endocrinology | Current | Accepting new patients |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
Bwpo
Dept Of Ivf Globals
Boston, MA 02241
75 Francis St
Boston, MA 02115
75 Francis St
#1
Boston, MA 02115
Phone (617) 732-6310
Interoperability endpoints
- srouji.serene.bwh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Reproductive Endocrinology Physician
- Boston, MA
- NPI 1518985050
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1639150394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
"address_2": "75 FRANCIS STREET ASB1",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-4648",
"fax_number": "617-975-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
"address_2": "75 FRANCIS STREET ASB1",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-4648",
"fax_number": "617-975-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SROUJI",
"first_name": "SERENE",
"middle_name": "SAMIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MA",
"license": "217592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.