Active NPI
Donald W Kucharzyk, D.O.
- Pediatric Orthopaedic Surgery Physician
- Crown Point, IN
National Provider Identifier
1164499505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 02001091A
- Practice address
- 7284 W Lincoln Hwy
Crown Point, IN 46307-9526 - Phone
- (219) 769-7004
- Fax
- (219) 440-7188
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 02001091A | IN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 02001091A | IN | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 02001091A | IN | Primary |
Addresses
Primary practice location
7284 W Lincoln Hwy
Crown Point, IN 46307-9526
Mailing address
7284 W Lincoln Hwy
Crown Point, IN 46307-9526
Phone (219) 769-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001091A | IN | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare, LLC | Current | Accepting new patients |
Locations
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Merrillville, IN
- NPI 1922546530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164499505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7284 W LINCOLN HWY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079526",
"telephone_number": "219-769-7004",
"fax_number": "219-440-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7284 W LINCOLN HWY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079526",
"telephone_number": "219-769-7004",
"fax_number": "219-440-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHARZYK",
"first_name": "DONALD",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "02001091A",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IN",
"license": "02001091A",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "IN",
"license": "02001091A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.