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MOHANED SALIM SERDAH M.D.
NPI 1841819653
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 11, 2020PECOS Enrolled
601 ELMWOOD AVENUE, ROCHESTER, NY 14642(585) 275-4290(585) 473-1573 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Apr 11, 2020 (2 updates tracked since 2020).

About Mohaned Salim Serdah M.d. NPPES

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

MOHANED SALIM SERDAH M.D. (NPI 1841819653) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841819653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHANED SALIM SERDAHCredential: M.D.
Location Address601 ELMWOOD AVENUERochester, NY 14642
Mailing Address601 Elmwood Avenue, Box679Rochester, NY 14642 · (585) 275-4290 · Fax (585) 473-1573
Phone(585) 275-4290
Fax(585) 473-1573
Sole ProprietorNo
Enumeration DateApril 11, 2020
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1841819653 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.
601 ELMWOOD AVENUE, Rochester, NY 14642
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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)

Mohaned Salim Serdah M.d. 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 20

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

XIAOLAN OU MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER
ROCHESTER, NY 14642
Monroe County (585) 275-3191
YU WING YEUNG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5662
MRS. BETH ANNE DELPAPA NP
Nurse Practitioner (Family)
601 ELMWOOD AVENUE, BOX 679-Y
ROCHESTER, NY 14642
Monroe County (585) 275-4775
DR. RAVINDER SIDHU M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
CHUNKIT FUNG M.D.
Internal Medicine (Hematology & Oncology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5823
DR. PHUONG-LAN THI NGUYEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 758-0510
MOUNIR FAKHOURI M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2100
SHANTE WHITE M.D.
Anesthesiology (Pediatric Anesthesiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-1385

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 Mohaned Serdah's NPI number?

The NPI number for Mohaned Serdah is 1841819653. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Mohaned Serdah located?

Mohaned Serdah practices at 601 Elmwood Avenue, Rochester, NY 14642. The listed phone number is (585) 275-4290.

What is Mohaned Serdah's specialty?

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

Is Mohaned Serdah enrolled in Medicare?

Yes. Mohaned Serdah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohaned Serdah was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.