Individual provider Active NPI

Mitchel Seruya, MD

  • Plastic Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1902030075
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A138160 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 423-2129
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Q0560 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X Q0560 TX
Plastic and Reconstructive Surgery Physician 2086S0122X Q0560 TX
Plastic Surgery Physician 208200000X A138160 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

PO Box 512717
Los Angeles, CA 90051-0717
Phone (310) 423-2129

Other practice location 1

1450 San Pablo St
6th Floor
Los Angeles, CA 90033-4500
Phone (323) 442-7920

Other practice location 2

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (888) 631-2452

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151028002449 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Pediatric Medicine 1557586054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138160CAMDMarriage & Family Therapist
A138160CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2020 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 12, 2015 Accepting new patients
The Methodist Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Texas Children's Hospital Past Accepting new patients
Harris County Hospital District Past Accepting new patients
CHI St. Luke's Health Baylor College of Medicine Medical Center Past Accepting new patients
St. Luke's Community Health Services Past Accepting new patients

Locations

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

120 S Spalding Dr
Ste 120
Beverly Hills, CA 90212
Phone (310) 601-3900

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048
Phone (310) 423-9769

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mseruya215259@direct.cshs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1902030075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512717",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510717",
            "telephone_number": "310-423-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 San Pablo St",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900334500",
            "country_code": "US",
            "telephone_number": "323-442-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 W Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276062",
            "country_code": "US",
            "telephone_number": "888-631-2452",
            "fax_number": "323-361-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERUYA",
        "first_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q0560",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "Q0560",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "Q0560",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A138160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.