DR. KAITLIN MARIE SERYAK M.S., M.D.
NPI 1699139733
General Practice in Dearborn, MI

Q: What is Kaitlin Seryak's NPI number?

The NPI number for Kaitlin Seryak is 1699139733. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Kaitlin Seryak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Seryak was last updated on January 14, 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.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

2331 MONROE ST, DEARBORN, MI 48124(313) 792-0346 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2022, Aug 3, 2020 (2 updates tracked since 2020).

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About Dr. Kaitlin Marie Seryak M.s., M.d. NPPES

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

DR. KAITLIN MARIE SERYAK M.S., M.D. (NPI 1699139733) is an individual general practice provider in Dearborn, Michigan, licensed in Michigan (4301500870) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1699139733

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. KAITLIN MARIE SERYAKCredential: M.S., M.D.

Location Address2331 MONROE STDearborn, MI 48124-3009

Mailing Address2331 Monroe StDearborn, MI 48124-3009 · (313) 792-0345 · Fax (313) 792-0346

Phone(313) 792-0346

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateApril 5, 2016

Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2022

✔ NPI 1699139733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301500870

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2331 MONROE ST, Dearborn, MI 48124

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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

Dr. Kaitlin Marie Seryak M.s., M.d. 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 ID1951695881

PECOS Enrollment IDI20200512000941, I20251023000237

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 6

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

DR. JENNATA FRANCIS M.D.

Pediatrics