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ELIZABETH SERUNJOGI MD
NPI 1497496699
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 05, 2022PECOS Enrolled

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Serunjogi Md NPPES

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

ELIZABETH SERUNJOGI MD (NPI 1497496699) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497496699
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH SERUNJOGICredential: MD
Location Address50 FRUIT STBoston, MA 02114-2620
Mailing Address50 Fruit StBoston, MA 02114-2620 · (617) 724-4184
Phone(617) 724-4184
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 3, 2022
✔ NPI 1497496699 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 ListedEmergency MedicineTaxonomy 207P00000X · License S95104510 (MA)
50 FRUIT ST, Boston, MA 02114
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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 (PECOS)

Elizabeth Serunjogi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

ANNA MARIE MARTENS
Student in an Organized Health Care Education/Training Program
50 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-7782
MS. BRIDGET RITTER PT, DPT
Physical Therapist
50 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. LEILA ROSTAMNJAD PHARM.D
Pharmacist (Oncology)
50 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 304-0147
DR. JOSHUA ADAM HIRSCH MD
Radiology (Neuroradiology)
50 FRUIT ST, GRAY 241
BOSTON, MA 02114
Suffolk County (617) 726-1767
DR. NEAL NOLAN MD
Psychiatry & Neurology (Neurology)
50 FRUIT ST
BOSTON, MA 02114
Suffolk County (877) 424-5678

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 Elizabeth Serunjogi's NPI number?

The NPI number for Elizabeth Serunjogi is 1497496699. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Elizabeth Serunjogi located?

Elizabeth Serunjogi practices at 50 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-4184.

What is Elizabeth Serunjogi's specialty?

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

Is Elizabeth Serunjogi enrolled in Medicare?

Yes. Elizabeth Serunjogi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Serunjogi was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.