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SERENA LWANGA DO
NPI 1467390104
Student in an Organized Health Care Education/Training Program in Gaithersburg, MD

Active since March 24, 2026PECOS Enrolled
655 WATKINS MILL RD, GAITHERSBURG, MD 20879(240) 632-4000 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Serena Lwanga Do NPPES

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

SERENA LWANGA DO (NPI 1467390104) is an individual student in an organized health care education/training program in Gaithersburg, Maryland and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2026).

NPPES Registry Identity

NPI1467390104
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENA LWANGACredential: DO
Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3301
Mailing Address655 Watkins Mill RdGaithersburg, MD 20879-3301
Phone(240) 632-4000
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2026
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1467390104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
655 WATKINS MILL RD, Gaithersburg, MD 20879
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Lwanga Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870058704
PECOS Enrollment IDI20260722000168
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.

Medicare Billing Reassignment

Medicare enrollment records show Serena Lwanga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
655 WATKINS MILL RD
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
NPI 1831471713 (301) 258-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. ESTHER SHINYOUNG SONG M.D.
Pediatrics
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000
DR. VICTOR DAVID ELLIS III MD
Student in an Organized Health Care Education/Training Program
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000
DR. PETER JAN BLUVAS JR. M.D.
Emergency Medicine
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (406) 324-2242
YOGESH PARUTHI
Pharmacist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4155
ILYSSA KAREN HAAR RN, IBCLC, BSN
Registered Nurse (Lactation Consultant)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4333
HAOBO ZHOU MD
General Acute Care Hospital
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4075
MR. SCOTT ERIC JACKSON RT(R)(CT)
Radiologic Technologist (Computed Tomography)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4418
KATIE MARIE ESSER
Audiologist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Montgomery County (240) 632-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Lwanga's NPI number?

The NPI number for Serena Lwanga is 1467390104. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Serena Lwanga located?

Serena Lwanga practices at 655 Watkins Mill Rd, Gaithersburg, MD 20879. The listed phone number is (240) 632-4000.

What is Serena Lwanga's specialty?

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

Is Serena Lwanga enrolled in Medicare?

Yes. Serena Lwanga is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serena Lwanga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena Lwanga reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Serena Lwanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Serena Lwanga was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.