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

Thomas J. Serena, DO, MA

Individual provider Surgery Physician · NPI 1174020382

Thomas J. Serena, DO, MA is a Vascular Surgery in Salt Lake City, Utah. Qualified in 2018, 8 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Utah.

Years since qualifying
8
Licensed in
MI, UT
In the registry since
2018
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.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

30 N 1900 E Rm 3C344
Salt Lake City, UT 84132-0002
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 13289387-1204 (UT)
Surgery Physician Taxonomy 208600000X · Licence 5151012245 (MI)

Record details

NPI number1174020382
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MA
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESMarch 4, 2023
Certification dateMarch 4, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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