Active NPI
Chad Michael Serels
- Ophthalmology Physician
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 76390
- Practice address
- 10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509 - Phone
- (952) 888-5800
- Fax
- (952) 567-6156
- NPI assigned
- Mar 28, 2020
- Last updated
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 76390 | MN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2237 Crocker Rd
Suite 100
Westlake, OH 44145-7610
Phone (440) 892-3931
Hospital & facility affiliations
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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@skyvisioncenters.emadirect.md
- cserels@uvpmec.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Westlake, OH
- NPI 1215997804
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1760010656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S STE 425",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313873",
"telephone_number": "952-888-5800",
"fax_number": "952-567-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10709 WAYZATA BLVD STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055509",
"telephone_number": "952-888-5800",
"fax_number": "952-567-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERELS",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-28",
"last_updated": "2024-07-17",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "76390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.