Individual provider Active NPI

Dwight S Tyndall, MD

  • Orthopaedic Surgery of the Spine Physician
  • Crown Point, IN
National Provider Identifier
1285643205
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
01051714A Issued in IN
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

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5797564OtherAETNA
140220OtherMEDICARE GROUP SMMN
001051714OtherBCIL TYNDALL
200135850AOtherMEDICAID IND GROUP
874640OtherINMEDICARE GROUP
104771OtherINANTHEM GROUP
200226250AMedicaidIN
CI3318OtherRRMEDICARE GROUP
1160572OtherFIRST HEALTH
036095677MedicaidIL
00000092093OtherANTHEM
90000692OtherBCIL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000631 IN Practitioner - Orthopedic Surgery 7618063306 Reassigns benefits to 3 organizations

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
Lakeshore Bone and Joint Institute II, LLCGroup PAC ID 0446512909, 8 clinicians

Practice addresses (Care Compare)

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion104
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

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Northwest Indiana PC Orthopaedic Surgery CurrentSince Jan 1, 2000 Accepting new patients
Lakeshore Bone & Joint Institute, PC Orthopaedic Surgery CurrentSince Dec 31, 2020 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 CurrentSince Mar 5, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDEBA
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.