SERENITY SURGICAL LLC NPI 1073987053

NPI Information

  • NPI: 1073987053
  • Provider Name: SERENITY SURGICAL, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 15D2107173
  • Address: 8840 CALUMET AVE
    SUITE 104
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 513-9582

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NPI Details

SERENITY SURGICAL, LLC is an ambulatory surgical clinic center in Munster, IN. SERENITY SURGICAL, LLC NPI is 1073987053. The provider is registered as an organization entity type.

The provider's business location address is:

8840 CALUMET AVE
SUITE 104
MUNSTER, IN
ZIP 46321-545
Phone: (219) 513-9582
Fax: (219) 513-8515

The provider's authorized official is Satish Dasari .
The authorized official title is Ceo and has the following contact phone number (219) 513-9582.

The CLIA number assigned to this NPI record is 15D2107173 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)

The enumeration date for this NPI number is 11/13/2015 and was last updated on 5/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical16-013584-1INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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