SERENITY SURGICAL, LLC
NPI 1073987053
Clinic/Center - Ambulatory Surgical in Munster, IN

Active since November 13, 2015CLIA 15D2107173 · Waiver
8840 CALUMET AVE, SUITE 104, MUNSTER, IN 46321(219) 513-9582(219) 513-8515 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, May 17, 2016, Feb 10, 2016 and 1 more (4 updates tracked since 2015).

About Serenity Surgical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SURGICAL, LLC (NPI 1073987053) is a healthcare organization registered as an ambulatory surgical in Munster, Indiana and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Sandford Matthew Schocket, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073987053
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSERENITY SURGICAL, LLC
Location Address8840 CALUMET AVE, SUITE 104Munster, IN 46321-2545
Mailing Address7951 Shoal Creek Blvd Ste 300Austin, TX 78757-7582 · (219) 513-9582 · Fax (219) 513-8515
Fax(219) 513-8515
Organization SubpartNo
Authorized OfficialSandford Matthew SchocketCeo · (512) 584-8404
Enumeration DateNovember 13, 2015
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1073987053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in IN · 16-013584-1
8840 CALUMET AVE, Munster, IN 46321

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2107173

Serenity Surgical, LLC · Munster, IN
Active · expires Jan 6, 2028
CLIA Number15D2107173
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorShanu Kondamuri
Laboratory Phone(219) 836-7246
Laboratory LocationSerenity Surgical, LLC8840 Calumet Ave, Ste 104, Munster, IN 46321
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
433 services259 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
247 services94 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
207 services172 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
141 services79 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
88 services64 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
78 services73 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Pain Medicine (Interventional Pain Medicine)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Pain Medicine (Interventional Pain Medicine)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Clinic/Center (Pain)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Pain Medicine (Interventional Pain Medicine)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Anesthesiology (Pain Medicine)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Physical Medicine & Rehabilitation
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Physical Medicine & Rehabilitation
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Surgical, LLC's NPI number?

The NPI number for Serenity Surgical, LLC is 1073987053. It was assigned to this organization in the NPPES registry on November 13, 2015.

Where is Serenity Surgical, LLC located?

Serenity Surgical, LLC is located at 8840 Calumet Ave Suite 104, Munster, IN 46321. The listed phone number is (219) 513-9582.

What is Serenity Surgical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Serenity Surgical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2107173) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Surgical, LLC was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.