LEAH SERUNJOGI
NPI 1285337410
Student in an Organized Health Care Education/Training Program in Portsmouth, NH

Q: What is Leah Serunjogi's NPI number?

The NPI number for Leah Serunjogi is 1285337410. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Leah Serunjogi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Serunjogi was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment

333 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 559-4129 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Mar 27, 2023 (2 updates tracked since 2023).

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About Leah Serunjogi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH SERUNJOGI (NPI 1285337410) is an individual student in an organized health care education/training program in Portsmouth, New Hampshire and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2023).

NPPES Registry Identity

NPI1285337410

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLEAH SERUNJOGI

Location Address333 BORTHWICK AVEPortsmouth, NH 03801-7128

Mailing Address333 Borthwick AvePortsmouth, NH 03801-7128 · (603) 559-4129

Phone(603) 559-4129

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1285337410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 38106 (NH)

333 BORTHWICK AVE, Portsmouth, NH 03801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Serunjogi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658804174

PECOS Enrollment IDI20241023000147

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN PAUL GENS JR. MD

Surgery

333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801

Rockingham County (603) 433-6994

YOO NA CHUN MD

Student in an Organized Health Care Education/Training Program