Individual provider Active NPI

Darin Richard Serletic, DPM

  • Podiatrist
  • Jasper, IN
National Provider Identifier
1528040714
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000795A Issued in IN
Practice address
645 W 5TH St
Jasper, IN 47546-3172
Phone
(812) 634-2778
Fax
(812) 634-2909
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000795A IN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000795A IN

Addresses

Primary practice location

645 W 5TH St
Jasper, IN 47546-3172

Mailing address

645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778

Other identifiers 2

IdentifierTypeStateIssuer
200041270MedicaidIN
000000775782OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000171 IN Practitioner - Podiatry 4183893548 Reassigns benefits to 3 organizations
Practice locations: Evansville, IN; Newburgh, IN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians
Patoka Valley Podiatry PCGroup PAC ID 2961582655, 4 clinicians

Practice addresses (Care Compare)

507 E 19TH St
Huntingburg, IN 47542-9388
Phone (812) 683-1891

600 W 13TH St
Jasper, IN 47546-1882

645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778

Hospital & facility affiliations

  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue327
Removal of skin lesions1-10
Removal of nail tissue106
Removal or shaving of skin growth74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000795INMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patoka Valley Podiatry P.C. Podiatrist CurrentSince Apr 2, 2012 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince May 14, 2012 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince May 14, 2012 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Specialty Physicians, Inc Past Accepting new patients

Locations

5010 Davis Lant Dr
Ste 1
Evansville, IN 47715
Phone (812) 401-5040

507 E 19th St
Huntingburg, IN 47542
Phone (812) 683-1891

645 W 5th St
Jasper, IN 47546
Phone (812) 634-2778

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

7580 Peachwood Dr
Newburgh, IN 47630
Phone (812) 853-2997

Interoperability endpoints

  • Direct secure messaging: dserletic40599@direct.deaconess.com
  • Direct secure messaging: dserletic19027@direct.mhhcc.org

Organizations & group practices 5

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 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1528040714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLETIC",
        "first_name": "DARIN",
        "middle_name": "RICHARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000795A",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000795A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041270",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000775782",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.