SERENITY WELL BEING CLINIC PA
NPI 1679603211
Podiatrist - Foot Surgery in Safety Harbor, FL
About Serenity Well Being Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITY WELL BEING CLINIC PA (NPI 1679603211) is a healthcare organization registered as a foot surgery in Safety Harbor, Florida and active in the NPI registry since March 2007. The organization lists Nazanin Roboubi, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serenity Well Being Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Well Being Clinic PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Serenity Well Being Clinic PA's NPI number?
The NPI number for Serenity Well Being Clinic PA is 1679603211. It was assigned to this organization in the NPPES registry on March 6, 2007.
Where is Serenity Well Being Clinic PA located?
Serenity Well Being Clinic PA is located at 1840 Mease Dr Suite 315, Safety Harbor, FL 34695. The listed phone number is (727) 631-1592.
What is Serenity Well Being Clinic PA's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Serenity Well Being Clinic PA enrolled in Medicare?
Yes. Serenity Well Being Clinic PA is registered in the Medicare PECOS enrollment system.
When is Serenity Well Being Clinic PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Serenity Well Being Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Serenity Well Being Clinic PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Serenity Well Being Clinic PA was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Serenity Well Being Clinic Pa · NPI 1679603211
Foot Surgery organization in Safety Harbor, Florida. Organization record, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1679603211 (Entity type: Organization)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Nazanin Roboubi, PODIATRIST
## Practice location
- **Address:** 1840 MEASE DR, SUITE 315, Safety Harbor, FL 34695-6602
- **Phone:** (727) 631-1592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2013
- **Other identifiers:** Medicare NSC 6185550001 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1679603211) · Data from the CMS NPPES public registry.