Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699139733 Individual Practitioner Female Practitioner

Dr. Kaitlin Marie Seryak , MS, MD

General Practice • Dearborn, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kaitlin Seryak, MS, MD is a certified General Practice practicing in Dearborn, MI. With approximately 11 years of clinical experience since graduating from Wayne State University School Of Medicine in 2015, Dr. Seryak delivers high-quality medical care to the local community at 2331 MONROE ST.

Dr. Seryak is affiliated with Patheous Medical Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2331 Monroe St

Dearborn, MI 481243009

Telephone 3137920346
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Dearborn, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -19.0 yrs vs City Avg
City Avg: 30.0 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Dearborn, MI (445 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seryak (11 Years) 11 Yrs
Dearborn Specialty Average (30.0 Years) 30.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301500870

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Hospital & Practice Group Affiliations

Patheous Medical Pllc

32401 8 Mile Rd, Livonia, MI 481521301

Phone: 9133596021

Patheous Medical Pllc

190 N Union St, Akron, OH 443041362

Phone: 9133596021

Secondary Practice Locations

14671 Telegraph Rd

Redford, MI 482393300

Phone: 3137298624

3990 John R St, Suite 615

Detroit, MI 482012018

Phone: 3137454195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1124381462

Doctor of Medicine (M.D.)

NPI 1245206044

Doctor of Medicine (M.D.)

Leslie Mofrad , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1508138033

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

Brooke Wanshon , MS, RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1588013973

Master of Science, Registered Nurse, CPNPPC

NPI 1811549710

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 14, 2022

Registered at 2331 MONROE ST, DEARBORN, MI 481243009 (Tel: 3137920346)

📍
Updated Business Mailing Address January 14, 2022

Registered at 2331 MONROE ST, DEARBORN, MI 481243009 (Tel: 3137920345)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location August 03, 2020

Registered at 14671 TELEGRAPH RD, REDFORD, MI 482393300 (Tel: 3137298624)

📍
Updated Business Mailing Address August 03, 2020

Registered at 14671 TELEGRAPH RD, REDFORD, MI 482393300 (Tel: 3137298624)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2020

General Practice (License #4301500870 in MI)

NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2016

Registered at 3990 JOHN R ST, SUITE 615, DETROIT, MI 482012018 (Tel: 3137454195)

📍
Updated Business Mailing Address April 05, 2016

Registered at 3990 JOHN R ST, SUITE 615, DETROIT, MI 482012018 (Tel: 3137454195)

👤
Provider Name / Credentials Updated April 05, 2016

Recorded as KAITLIN SERYAK, M.S., M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699139733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2016
Last Update: January 14, 2022
Sole Proprietor: No

Mailing Address

2331 Monroe St

Dearborn, MI 481243009

Phone: 3137920345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.