MKRTICH SEROBYAN DO
NPI 1417692823
Student in an Organized Health Care Education/Training Program in Wyoming, MI

Active since April 29, 2022PECOS EnrolledAccepts Medicare Assignment
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200(616) 252-4953 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Apr 29, 2022 (2 updates tracked since 2022).

About Mkrtich Serobyan Do NPPES

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

MKRTICH SEROBYAN DO (NPI 1417692823) is an individual student in an organized health care education/training program in Wyoming, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417692823
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMKRTICH SEROBYANCredential: DO
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200 · Fax (616) 252-4953
Fax(616) 252-4953
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2022
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1417692823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedGeneral PracticeTaxonomy 208D00000X · License 5101027928 (MI)
5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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

Mkrtich Serobyan Do 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 ID2264812106
PECOS Enrollment IDI20251008003041
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.

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.

Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH - HOSPITAL
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417692823, enumerated as an "individual" on April 29, 2022.

The provider is located at 5900 BYRON CENTER AVE SW WYOMING, MI 49519 and the phone number is (616) 252-7200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.