Active NPI
Serenity Surgical, LLC
- Ambulatory Surgical Clinic/Center
- Munster, IN
National Provider Identifier
1073987053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 16-013584-1
- Legal business name
- SERENITY SURGICAL, LLC
- Practice address
- 8840 Calumet Ave
Suite 104
Munster, IN 46321-2545 - Phone
- (219) 513-9582
- Fax
- (219) 513-8515
- NPI assigned
- Nov 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandford Matthew Schocket, MD
- Title
- Ceo
- Phone
- (512) 584-8404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 16-013584-1 | IN | Primary |
Addresses
Primary practice location
8840 Calumet Ave
Suite 104
Munster, IN 46321-2545
Mailing address
7951 Shoal Creek Blvd Ste 300
Austin, TX 78757-7582
Phone (219) 513-9582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160629000503 | IN | Part B Supplier - Ambulatory Surgical Center | 9830480482 | Practice locations: Munster, IN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Serenity Surgical LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2107173 | Serenity Surgical, LLC | Certificate of waiver | Jan 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
28681 Network Pl
Chicago, IL 60673
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Munster, IN
- NPI 1316202138
-
- Pain Medicine (Anesthesiology) Physician
- Munster, IN
- NPI 1740289313
-
- Pain Medicine (Anesthesiology) Physician
- Munster, IN
- NPI 1346249927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1073987053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 SHOAL CREEK BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577582",
"telephone_number": "219-513-9582",
"fax_number": "219-513-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CALUMET AVE",
"address_2": "SUITE 104",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212545",
"telephone_number": "219-513-9582",
"fax_number": "219-513-8515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SURGICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "SCHOCKET",
"authorized_official_first_name": "SANDFORD",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-584-8404",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IN",
"license": "16-013584-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.