1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SEREENA JIVRAJ MD
NPI 1710689153
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 20, 2023PECOS Enrolled
5501 OLD YORK RD STE 1614, PHILADELPHIA, PA 19141(215) 456-8261 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Sereena Jivraj Md NPPES

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

SEREENA JIVRAJ MD (NPI 1710689153) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Texas (000000) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710689153
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSEREENA JIVRAJCredential: MD
Location Address5501 OLD YORK RD STE 1614Philadelphia, PA 19141-3018
Mailing Address5501 Old York Rd # 1614Philadelphia, PA 19141-3018 · (215) 456-8261
Phone(215) 456-8261
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1710689153 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
License✔ Licensed in TX · 000000
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.
5501 OLD YORK RD STE 1614, Philadelphia, PA 19141
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sereena Jivraj 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.

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 Sereena Jivraj's NPI number?

The NPI number for Sereena Jivraj is 1710689153. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Sereena Jivraj located?

Sereena Jivraj practices at 5501 Old York Rd Ste 1614, Philadelphia, PA 19141. The listed phone number is (215) 456-8261.

What is Sereena Jivraj's specialty?

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

Is Sereena Jivraj enrolled in Medicare?

Yes. Sereena Jivraj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sereena Jivraj was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.