DR. SERENE SAMIR SROUJI (MD) – Reproductive Endocrinology Physician, NPI 1639150394

DR. SERENE SAMIR SROUJI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 217592 (MA). The NPI Number for DR. SERENE SAMIR SROUJI (MD) is 1639150394

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SERENE SAMIR SROUJI (MD)
NPI
1639150394
Phone
(617) 732-4648
Address
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Enumeration Date
9 November 2005
Last Update Date
22 June 2012

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177325500
Graduation Year
1998 (28 years ago)
PAC ID
5496755704
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20070111000163
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for DR. SERENE SAMIR SROUJI (MD)

  • DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

    75 FRANCIS STREET ASB1

    BOSTON, MA 02115

    Phone: (617) 732-4648

    Fax: (617) 975-0870

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070111000163IObstetrics/GynecologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does DR. SERENE SAMIR SROUJI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SERENE SAMIR SROUJI (MD) uses 1639150394.
Can I rely on DR. SERENE SAMIR SROUJI (MD) being an active provider?
As of the registry snapshot, DR. SERENE SAMIR SROUJI (MD) is marked active.
What is DR. SERENE SAMIR SROUJI (MD)'s primary classification?
Reproductive Endocrinology Physician is the headline specialty for DR. SERENE SAMIR SROUJI (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SERENE SAMIR SROUJI (MD)?
DR. SERENE SAMIR SROUJI (MD)'s geographic hint is Boston, Massachusetts in our summary view.
Is the information about DR. SERENE SAMIR SROUJI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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