Serena Sarah Choi

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R80183 Issued in AZ

Practice address

655 N Alvernon Way Ste 204
Tucson, AZ 85711-1825

Phone

(520) 626-2010

NPI assigned

Oct 9, 2018

Reactivated

Jul 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1669947305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N ALVERNON WAY STE 204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N ALVERNON WAY STE 204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111825",
            "telephone_number": "520-626-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SERENA",
        "middle_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "deactivation_date": "2020-05-24",
        "reactivation_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "R80183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Kieun Choi, MD
• Kwang Jin Choi, M.D.
• Myunghan Choi, PHD, MPH, APRN, BC
• Robert Sung Choi, PHARMD
• Sara Kim Choi
• Soojung Choi
• Youngeun Choi, RPH
• Choice Medical Group
• Jad Chokr, M.D.
• Suteevan Cholitkul, M.D.

• Ophthalmology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.