Active NPI
Dwight S Tyndall, MD
- Orthopaedic Surgery of the Spine Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 01051714A
- Practice address
- 500 E 109TH Ave
Crown Point, IN 46307-7294 - Phone
- (219) 921-1444
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01051714A | IN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 01051714A | IN | Primary |
Addresses
Primary practice location
500 E 109TH Ave
Crown Point, IN 46307-7294
Mailing address
601 Gateway Ave
Chesterton, IN 46304
Phone (219) 921-1444
Other practice location 1
601 Gateway Ave
Chesterton, IN 46304
Phone (219) 921-1444
Other practice location 2
833 W Lincoln Hwy Ste 110
Schererville, IN 46375-1674
Phone (219) 921-1444
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5797564 | Other | AETNA | |
| 140220 | Other | MEDICARE GROUP SMMN | |
| 001051714 | Other | BCIL TYNDALL | |
| 200135850A | Other | MEDICAID IND GROUP | |
| 874640 | Other | IN | MEDICARE GROUP |
| 104771 | Other | IN | ANTHEM GROUP |
| 200226250A | Medicaid | IN | |
| CI3318 | Other | RRMEDICARE GROUP | |
| 1160572 | Other | FIRST HEALTH | |
| 036095677 | Medicaid | IL | |
| 00000092093 | Other | ANTHEM | |
| 90000692 | Other | BCIL GROUP |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York Medical College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Hospital & facility affiliations
- Community Hospital
- Franciscan Health Crown Point
- Northwest Health - Porter
- Franciscan Health Rensselaer, Inc
- Northwest Health-la Porte
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 104 |
| Laminectomy or laminotomy (partial removal of spine bones) | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of Northwest Indiana PC | Orthopaedic Surgery | Current | Accepting new patients |
| Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Lakeshore Bone & Joint Institute II, LLC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Southland Orthopaedics LTD | Orthopaedic Surgery | Past | Accepting new patients |
Locations
601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401
500 E 109th Ave
Crown Point, IN 46307
730 45th St
Munster, IN 46321
Phone (219) 922-3016
9200 Calumet Ave
Ste S200
Munster, IN 46321
Phone (219) 961-9621
759 45th St
Ste 201
Munster, IN 46321
Phone (219) 836-0296
759 45th St
Munster, IN 46321
Phone (219) 836-0296
3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380
833 W Lincoln Hwy
Ste 110
Schererville, IN 46375
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEDEBA
- dtyndall80842@direct.franciscanalliance.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery of the Spine Physician
- Chesterton, IN
- NPI 1821326240
-
- Orthopaedic Surgery Physician
- Munster, IN
- NPI 1497865794
-
- Orthopaedic Surgery Physician
- Olympia Fields, IL
- NPI 1679714547
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1285643205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GATEWAY AVE",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "46304",
"telephone_number": "219-921-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 109TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077294",
"telephone_number": "219-921-1444"
}
],
"practiceLocations": [
{
"address_1": "601 Gateway Ave",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "46304",
"country_code": "US",
"telephone_number": "219-921-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 W Lincoln Hwy Ste 110",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751674",
"country_code": "US",
"telephone_number": "219-921-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYNDALL",
"first_name": "DWIGHT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2024-12-20",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01051714A",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IN",
"license": "01051714A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5797564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP SMMN",
"identifier": "140220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCIL TYNDALL",
"identifier": "001051714",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID IND GROUP",
"identifier": "200135850A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "874640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "104771",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200226250A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE GROUP",
"identifier": "CI3318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1160572",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095677",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000092093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCIL GROUP",
"identifier": "90000692",
"state": null
}
],
"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 Dec 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.