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SERINA B BEYDOUN MD
NPI 1962022426
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 24, 2020PECOS Enrolled
3901 BEAUBIEN ST STE 3T72, DETROIT, MI 48201(313) 745-1892 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serina B Beydoun Md NPPES

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

SERINA B BEYDOUN MD (NPI 1962022426) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1962022426
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERINA B BEYDOUNCredential: MD
Location Address3901 BEAUBIEN ST STE 3T72Detroit, MI 48201-2196
Mailing Address1300 Dacosta StDearborn, MI 48128-1427 · (313) 623-7767
Phone(313) 745-1892
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1962022426 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.
3901 BEAUBIEN ST STE 3T72, Detroit, MI 48201
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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)

Serina B Beydoun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810328390
PECOS Enrollment IDI20260709002915
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.

MANSI KOTHARI
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST STE 3T72
DETROIT, MI 48201
Wayne County (313) 745-5427
ZEINAB HUSSEIN BAYDOUN-DABAK MD
Pediatrics
3901 BEAUBIEN ST STE 3T72
DETROIT, MI 48201
Wayne County (313) 745-1892
CAROLINE SELIM MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST STE 3T72
DETROIT, MI 48201
Wayne County (313) 745-1892
NOUR MAKKAOUI MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST STE 3T72
DETROIT, MI 48201
Wayne County (313) 745-1892
CATHERINE ANNA NEMES DO
Pediatrics
3901 BEAUBIEN ST STE 3T72
DETROIT, MI 48201
Wayne County (313) 745-1892

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 Serina Beydoun's NPI number?

The NPI number for Serina Beydoun is 1962022426. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Serina Beydoun located?

Serina Beydoun practices at 3901 Beaubien St Ste 3t72, Detroit, MI 48201. The listed phone number is (313) 745-1892.

What is Serina Beydoun's specialty?

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

Is Serina Beydoun enrolled in Medicare?

Yes. Serina Beydoun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Serina Beydoun was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.