NPIMap

Individual provider Active NPI

Dean Thomas Serletic, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Christopher, IL
National Provider Identifier
1487789285
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-003973 Issued in IL
Practice address
4241 State Highway 14
Christopher, IL 62822-1037
Phone
(618) 724-2401
Fax
(618) 724-9257
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2035 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 016-003973 IL Primary

Addresses

Primary practice location

4241 State Highway 14
Christopher, IL 62822-1037

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other practice location 1

14410 Route 37
Johnston City, IL 62951-3166
Phone (618) 983-6911

Other identifiers 3

IdentifierTypeStateIssuer
601-01280OtherILBLUE CROSS BLUE SHIELD
P01458515OtherILRAILROAD MEDICARE
480004765OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000651 IL Practitioner - Podiatry 4981767076 Reassigns benefits to 1 organization
Practice locations: Marion, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Greater Area Rural Health Planning CorporationGroup PAC ID 8224947387, 52 clinicians

Practice addresses (Care Compare)

PO Box
Suite 155
Christopher, IL 62822

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1250
Removal or shaving of skin growth187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003973ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Aug 19, 2024 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Aug 19, 2024 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Current Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Past Accepting new patients

Locations

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1487789285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 STATE HIGHWAY 14",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628221037",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-9257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14410 Route 37",
            "address_purpose": "LOCATION",
            "city": "Johnston City",
            "state": "IL",
            "postal_code": "629513166",
            "country_code": "US",
            "telephone_number": "618-983-6911",
            "fax_number": "618-983-6913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERLETIC",
        "first_name": "DEAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2035",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "601-01280",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01458515",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480004765",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christopher, IL

Sources for this page

Verify at the official NPI Registry.