Individual provider Active NPI

Serge Pierrecharles, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lakeway, TX
National Provider Identifier
1609167980
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
U0522 Issued in TX
Practice address
2000 Medical Dr
Lakeway, TX 78734-4200
Phone
(512) 263-4500
NPI assigned
Apr 21, 2011
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X CV2201215 IN
Physical Medicine & Rehabilitation Physician 208100000X 58656 MN
Physical Medicine & Rehabilitation Physician 208100000X U0522 TX Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 58656 MN

Addresses

Primary practice location

2000 Medical Dr
Lakeway, TX 78734-4200

Mailing address

4825 Olson Memorial Hwy Ste 101
Golden Valley, MN 55422-5155
Phone (763) 208-9545

Other practice location 1

4825 Olson Memorial Hwy Ste 101
Golden Valley, MN 55422-5155
Phone (763) 208-9545

Other practice location 2

9220 Bass Lake Road
Suite 350
New Hope, MN 55428
Phone (763) 208-9545

Other practice location 3

2231 Carew St
Fort Wayne, IN 46805-4713
Phone (260) 425-6780

Other practice location 4

360 Sherman St Ste 300
Saint Paul, MN 55102-2566
Phone (763) 208-9545

Other identifiers 1

IdentifierTypeStateIssuer
1609167980MedicaidTX

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address spierrecharles500615@Direct.Parkviewexchange.com
Direct Messaging Address spierrecharles334817@excellian.direct.connecthie.org Direct
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, ND, IN, MI, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20160823000117 WI Practitioner - Physical Medicine and Rehabilitation 3375850852 Reassigns benefits to 1 organization
I20161031001502 MN Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 3375850852 Reassigns benefits to 2 organizations
I20180118001052 ND Practitioner - Physical Medicine and Rehabilitation 3375850852 Reassigns benefits to 1 organization
I20220817001022 IN Practitioner - Physical Medicine and Rehabilitation 3375850852 Reassigns benefits to 1 organization
I20240826000891 MI Practitioner - Physical Medicine and Rehabilitation 3375850852 Reassigns benefits to 1 organization
I20250502001664 TX Practitioner - Physical Medicine and Rehabilitation 3375850852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post-Acute Physicians of Texas PLLCGroup PAC ID 1456576248, 17 clinicians

Practice addresses (Care Compare)

725 Marlandwood Rd
Temple, TX 76502-3573
Phone (281) 724-3050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58656MNMDPhysical Medicine & Rehabilitation Physician
U0522TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Hospital CurrentSince Aug 1, 2024 Accepting new patients
Serge B Pierrecharles Medical Group PLLC CurrentSince Dec 1, 2017 Accepting new patients
Sanford Medical Center Fargo CurrentSince Sep 15, 2023 Accepting new patients
McLaren Bay Region CurrentSince Aug 21, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Sep 15, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2016 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2016 Accepting new patients
Post-Acute Physicians of Texas PLLC Physical Medicine & Rehabilitation CurrentSince Mar 24, 2025 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2022 Accepting new patients
North Memorial Health Care Current Accepting new patients
Parkview Health System Inc Current Accepting new patients
St. Cloud Hospital CurrentSince Aug 1, 2024 Accepting new patients
McLaren Bay Region CurrentSince Aug 21, 2024 Accepting new patients
Parkview Health System, Inc. CurrentSince Jul 28, 2022 Accepting new patients
St. Cloud Hospital Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

9220 Bass Lake Rd
Ste 350
New Hope, MN 55428
Phone (763) 208-9545

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

360 Sherman St
Ste 300
Saint Paul, MN 55102
Phone (651) 203-5130

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

2000 Medical Dr
Lakeway, TX 78734
Phone (512) 263-4500

725 Marlandwood Rd
Temple, TX 76502
Phone (512) 277-3345

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: serge.pierrecharles.1@17078.direct.athenahealth.com
  • Direct secure messaging: spierrecharles500615@direct.parkviewexchange.com
  • Direct secure messaging: spierrecharles836194@direct.centracare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 6

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1609167980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY STE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225155",
            "telephone_number": "763-208-9545",
            "fax_number": "651-927-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344200",
            "telephone_number": "512-263-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4825 Olson Memorial Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554225155",
            "country_code": "US",
            "telephone_number": "763-208-9545",
            "fax_number": "651-927-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Bass Lake Road",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "55428",
            "country_code": "US",
            "telephone_number": "763-208-9545",
            "fax_number": "651-927-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Carew St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054713",
            "country_code": "US",
            "telephone_number": "260-425-6780",
            "fax_number": "260-373-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Sherman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022566",
            "country_code": "US",
            "telephone_number": "763-208-9545",
            "fax_number": "651-927-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRECHARLES",
        "first_name": "SERGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "CV2201215",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "58656",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "U0522",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MN",
            "license": "58656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609167980",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spierrecharles500615@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spierrecharles334817@excellian.direct.connecthie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St Ste 1750",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.