Active NPI
Miguel Serrano, MD
- Family Medicine Physician
- Beverly, MA
National Provider Identifier
1851093686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1028116
- Practice address
- 30 Tozer Rd Ste 202
Beverly, MA 01915-5514 - Phone
- (978) 927-7727
- NPI assigned
- Mar 17, 2023
- Last updated
- Oct 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1028116 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
30 Tozer Rd Ste 202
Beverly, MA 01915-5514
Mailing address
PO Box 24532
New York, NY 10087-4532
Phone (781) 744-8771
Other practice location 1
6500 38th Ave N
St Petersburg, FL 33710-1629
Phone (727) 384-7727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622003197 | FL | Order and Referring Only - Family Practice | 2961860911 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1508244195
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1851093686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24532",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874532",
"telephone_number": "781-744-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TOZER RD STE 202",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155514",
"telephone_number": "978-927-7727"
}
],
"practiceLocations": [
{
"address_1": "6500 38th Ave N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337101629",
"country_code": "US",
"telephone_number": "727-384-7727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRANO",
"first_name": "MIGUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-17",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "1028116",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.