Individual provider Active NPI

Christopher Philip Sereni, M.D.

  • Diagnostic Radiology Physician
  • Worcester, MA
National Provider Identifier
1730475526
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D81100 Issued in MD
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-3850
Fax
(508) 856-1860
NPI assigned
Jun 21, 2011
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D81100 MD Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
110122319AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address csereni19596@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170509002126 MA Practitioner - Diagnostic Radiology 0749572816 Reassigns benefits to 2 organizations
I20231005000681 PA Practitioner - Diagnostic Radiology 0749572816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

100 Market St
Collegeville, PA 19426-4927

210 Mall Blvd
King of Prussia, PA 19406-3261
Phone (215) 456-7900

4900 Frankford Ave
Suite 2
Philadelphia, PA 19124-2618
Phone (215) 831-2000

50 E Township Line Rd
Medical Arts BLDG 2ND Floor
Elkins Park, PA 19027-2220
Phone (215) 663-6067

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

559 W Germantown Pike
East Norriton, PA 19403-4250

60 E Township Line Rd
Elkins Park, PA 19027-2220

60 E Townshipline Rd
Elkins Park, PA 19027-2220

609 W Germantown Pike
East Norriton, PA 19403-4250

9880 Bustleton Ave
Philadelphia, PA 19115-2185
Phone (215) 456-8242

Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800

Medical Arts Building G-01
Einstein Endocrinology Associates
Elkins Park, PA 19027-2220
Phone (215) 572-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81100MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial MRI & Imaging Center LLC CurrentSince Jun 30, 2017 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 11, 2023 Accepting new patients
Umass Memorial MRI - Marlborough CurrentSince Jan 1, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 11, 2023 Accepting new patients
Umass Memorial MRI & Imaging Center, LLC CurrentSince Jan 29, 2019 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Umass Memorial MRI & Imaging Center, LLC Diagnostic Radiology CurrentSince Jun 30, 2017 Accepting new patients
Umass Memorial MRI & Imaging Center, LLC CurrentSince Jun 30, 2017 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Dec 1, 2025 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Dec 1, 2025 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Umass Memorial Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

10 Little Brook Rd
West Wareham, MA 02576

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: csereni19596@umassmemorial.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1730475526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3850",
            "fax_number": "508-856-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENI",
        "first_name": "CHRISTOPHER",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D81100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110122319A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csereni19596@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.