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

NPI Status: Active since November 13, 2015

Contact Information

8840 CALUMET AVE
SUITE 104
MUNSTER, IN
ZIP 46321
Phone: (219) 513-9582
Fax: (219) 513-8515

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 15D2107173
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-06-2028

About SERENITY SURGICAL, LLC

This page provides the complete NPI Profile along with additional information for Serenity Surgical, Llc, a provider established in Munster, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073987053 assigned on November 2015. The practitioner's primary taxonomy code is 261QA1903X with license number 16-013584-1 (IN). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Sandford Matthew Schocket Md (Ceo)

NPI
1073987053
Provider Name
SERENITY SURGICAL, LLC
Entity Type
Organization
Location Address
8840 CALUMET AVE SUITE 104 MUNSTER, IN 46321
Location Phone
(219) 513-9582
Location Fax
(219) 513-8515
Mailing Address
7951 SHOAL CREEK BLVD STE 300 AUSTIN, TX 78757
Mailing Phone
(219) 513-9582
Mailing Fax
(219) 513-8515
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2015
Last Update Date
04-13-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
16-013584-1
License State
IN

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDFORD MATTHEW SCHOCKET MD

Authorized Official Title
CEO
Authorized Official Phone
(512) 584-8404

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

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.

This service was performed 86 times for 63 patients

Destruction of nerve branches of knee using imaging guidance

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

This service was performed 14 times for 13 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 26 times for 22 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

This service was performed 41 times for 26 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

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.

This service was performed 441 times for 269 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

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.

This service was performed 227 times for 87 patients

Injection of substance into lower spine canal using imaging guidance

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.

This service was performed 161 times for 125 patients

Injection of substance into middle or upper spine canal using imaging guidance

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.

This service was performed 70 times for 61 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 80 times for 39 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

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.

This service was performed 157 times for 80 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 40 times for 14 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

This service was performed 27 times for 27 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2107173
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 07, 2026
Certificate Expiration Date
January 06, 2028
Laboratory Director
SHANU KONDAMURI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Serenity Surgical, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SERENITY SURGICAL, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073987053, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 8 + 1 + 4 + 0 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073987053.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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
Physical Therapist
8840 CALUMET AVE, SUITE 101
MUNSTER, IN 46321
Dentist
8840 CALUMET AVE, SUITE 104
MUNSTER, IN 46321
Otolaryngology
8840 CALUMET AVE, SUITE 204
MUNSTER, IN 46321
Physical Therapist
8840 CALUMET AVE
MUNSTER, IN 46321
Home Health
8840 CALUMET AVE, SUITE 102B
MUNSTER, IN 46321
Home Health
8840 CALUMET AVE, 102B RM 1
MUNSTER, IN 46321
Clinic/Center (Ambulatory Surgical)
8840 CALUMET AVE, SUITE#101
MUNSTER, IN 46321
Podiatrist (Foot & Ankle Surgery)
8840 CALUMET AVE, SUITE 101
MUNSTER, IN 46321
Clinic/Center (Magnetic Resonance Imaging (MRI))
8840 CALUMET AVE, SUITE 102
MUNSTER, IN 46321
Otolaryngology
8840 CALUMET AVE, SUITE NUMBER 103
MUNSTER, IN 46321
Nurse Practitioner (Family)
8840 CALUMET AVE, SUITE 103
MUNSTER, IN 46321
Hearing Aid Equipment
8840 CALUMET AVE
MUNSTER, IN 46321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073987053, enumerated as an "organization" on November 13, 2015.

The provider is located at 8840 CALUMET AVE SUITE 104 MUNSTER, IN 46321 and the phone number is (219) 513-9582.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.