Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Serin Phruttitum, MD

Individual provider Family Medicine Physician · NPI 1831172451

Dr. Serin Phruttitum, MD is a Family Practice in Creve Coeur, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1995, 31 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Missouri.

Years since qualifying
31
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MI, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12680 Olive Blvd Ste 300
Creve Coeur, MO 63141-6322
Phone: (314) 251-8888
Fax: (314) 251-8889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 108455 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301070810 (MI)

Record details

NPI number1831172451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESNovember 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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