Chad Michael Serels
Individual provider Active NPI Ophthalmology Physician · Minnetonka, MN
NPI 1760010656 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1760010656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 76390 (MN)
- Practice address
- 10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509 - Phone
- (952) 888-5800
- Fax
- (952) 567-6156
- NPI assigned
- Mar 28, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whitestar Professional Corporation
Practice addresses (Care Compare)
2237 Crocker Rd
Suite 100
Westlake, OH 44145-7610
Phone (440) 892-3931
Hospital & facility affiliations
- Southwest General Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.11 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 87 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240605002335 | MN | Practitioner - Ophthalmology | 5799106860 | |
| I20250820000508 | OH | Practitioner - Ophthalmology | 5799106860 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitestar Professional Corporation | Ophthalmology | Current |
Accepting new patients |
Locations
2237 Crocker Rd
Ste 100
Westlake, OH 44145
Phone (440) 892-3931
Interoperability endpoints
- cserels@uvpmec.intellechartdirect.net
- cserels@skyvisioncenters.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 76390 | MN | Yes |
Addresses
Primary practice location
10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509
Mailing address
9801 Dupont Ave S Ste 425
Bloomington, MN 55431-3873
Phone (952) 888-5800
Other providers in Minnetonka, MN
- Ariela-Kristabelle Loeun Sem
- Senior Community Services
- James Septer
- Chantel Serack
- Georgetta S Serdynski
- Serenity Rehabilitative Services LLC
- Elizabeth Sersland
- Megan Settle
- Diane Kalin Severin
- Sha'Arim Inc
All providers in Minnetonka, MN · Ophthalmology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.