Individual provider Active NPI

Michael A Krzyskowski

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1174098214
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100026494A Issued in IN
Practice address
9900 Columbia Ave
Munster, IN 46321-4008
Phone
(121) 992-4330
Fax
(219) 934-2658
NPI assigned
Oct 4, 2018
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 100026494A IN Primary

Addresses

Primary practice location

9900 Columbia Ave
Munster, IN 46321-4008

Mailing address

730 45TH St
Munster, IN 46321-2818
Phone (121) 992-4330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MKRZYSKOWSKI@OSNWI1911.srs-direct.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190116000764 IN Practitioner - Physician Assistant 8426394214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mid West Medical College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Northwest Indiana PCGroup PAC ID 5092788901, 18 clinicians

Practice addresses (Care Compare)

10200 Wicker Ave
1 Osni St John
Saint John, IN 46373-9439
Phone (219) 924-3300

730 45TH Ave
Munster, IN 46321-2818

730 45TH St
Munster, IN 46321-2818
Phone 2199243300150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
100026494AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of Northwest Indiana LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

730 45th St
Munster, IN 46321
Phone (219) 922-3016

9900 Columbia Ave
Munster, IN 46321
Phone (219) 924-3300

Interoperability endpoints

  • Direct secure messaging: mkrzyskowski@osnwi1911.srs-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1174098214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212818",
            "telephone_number": "121-992-4330",
            "fax_number": "219-934-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214008",
            "telephone_number": "121-992-4330",
            "fax_number": "219-934-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYSKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "100026494A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MKRZYSKOWSKI@OSNWI1911.srs-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "730 45th St",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.