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

Mkrtich Serobyan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417692823

Mkrtich Serobyan, DO is a Family Practice in Wyoming, Michigan. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 5101027928 (MI)

Record details

NPI number1417692823
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address5900 Byron Center Ave Sw, Wyoming, MI 49519-9606

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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