Individual provider Active NPI

John Serak IV, M.D.

  • Neurological Surgery Physician
  • New Albany, IN
National Provider Identifier
1053635656
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01085574A Issued in IN
Practice address
1919 State St Ste 250
New Albany, IN 47150-6805
Phone
(812) 949-5933
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X DR.0058998 CO
Neurological Surgery Physician 207T00000X 55381 KY
Neurological Surgery Physician 207T00000X 01085574A IN Primary

Addresses

Primary practice location

1919 State St Ste 250
New Albany, IN 47150-6805

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924

Other practice location 1

99 Inverness Dr E Ste 100
Englewood, CO 80112-5127
Phone (303) 577-1939

Other practice location 2

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (317) 965-1330

Other practice location 3

3455 Lutheran Pkwy Ste 290
Wheat Ridge, CO 80033-6034
Phone (720) 559-3074

Other practice location 4

4700 Hale Pkwy Ste 330
Denver, CO 80220-4045
Phone (720) 441-4021

Other practice location 5

10099 Ridgegate Pkwy Ste 480
Lone Tree, CO 80124
Phone (720) 599-3074

Other practice location 6

3900 Kresge Way Ste 51
Louisville, KY 40207-4683
Phone (502) 259-5955

Other practice location 7

3900 Kresge Way Ste 41
Louisville, KY 40207-4681
Phone (502) 896-1313

Other identifiers 2

IdentifierTypeStateIssuer
300050313MedicaidIN
7100752330MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210603001308 IN Practitioner - Neurosurgery 4183996515 Reassigns benefits to 1 organization
I20210714001500 KY Practitioner - Neurosurgery 4183996515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550

3900 Kresge Way
Suite 51
Louisville, KY 40207-4690
Phone (502) 259-5955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion198
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0058998COMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Neurological Surgery CurrentSince Jul 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2021 Accepting new patients
Baptist Medical Associates Inc CurrentSince Aug 1, 2021 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 250
New Albany, IN 47150
Phone (812) 948-9500

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 51
Louisville, KY 40207
Phone (502) 259-5955

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053635656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 250",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506805",
            "telephone_number": "812-949-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Inverness Dr E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125127",
            "country_code": "US",
            "telephone_number": "303-577-1939",
            "fax_number": "866-541-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "317-965-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Lutheran Pkwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336034",
            "country_code": "US",
            "telephone_number": "720-559-3074",
            "fax_number": "720-360-1195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Hale Pkwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802204045",
            "country_code": "US",
            "telephone_number": "720-441-4021",
            "fax_number": "720-360-1195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10099 Ridgegate Pkwy Ste 480",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "80124",
            "country_code": "US",
            "telephone_number": "720-599-3074",
            "fax_number": "720-360-1195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Kresge Way Ste 51",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074683",
            "country_code": "US",
            "telephone_number": "502-259-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Kresge Way Ste 41",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074681",
            "country_code": "US",
            "telephone_number": "502-896-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR.0058998",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "55381",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01085574A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050313",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100752330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.