Organization Active NPI

Serenity Surgical, LLC

  • Ambulatory Surgical Clinic/Center
  • Munster, IN
National Provider Identifier
1073987053
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16-013584-1 Issued in IN
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

Updated by the provider on Apr 13, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 15C0002000
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2107173Serenity Surgical, LLC8840 Calumet Ave, Ste 104, Munster, IN 46321Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.