Individual provider Active NPI

Jeffrey Seizys, M.D.

  • Family Medicine Physician
  • Long Beach, IN
National Provider Identifier
1295705580
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043925A Issued in IN
Practice address
2218 Oriole TRL
Long Beach, IN 46360-1528
Phone
(219) 878-9227
NPI assigned
Jan 26, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01043925A IN Primary

Addresses

Primary practice location

2218 Oriole TRL
Long Beach, IN 46360-1528

Mailing address

2218 Oriole TRL
Long Beach, IN 46360-1528
Phone (219) 878-9227

Other practice location 1

7905 Calumet Ave
Munster, IN 46321-2549
Phone (219) 836-5800

Other practice location 2

1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 879-6531

Other practice location 3

1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 879-6531

Other identifiers 1

IdentifierTypeStateIssuer
200045880MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jseizys5716@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01043925AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dunes Optical, LLC Past Accepting new patients
Medical Group Surgery Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jseizys5716@direct.franciscanalliance.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1295705580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 ORIOLE TRL",
            "city": "LONG BEACH",
            "state": "IN",
            "postal_code": "463601528",
            "telephone_number": "219-878-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 ORIOLE TRL",
            "city": "LONG BEACH",
            "state": "IN",
            "postal_code": "463601528",
            "telephone_number": "219-878-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212549",
            "country_code": "US",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 E Coolspring Ave",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463606312",
            "country_code": "US",
            "telephone_number": "219-879-6531",
            "fax_number": "219-873-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 E Coolspring Ave",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463606312",
            "country_code": "US",
            "telephone_number": "219-879-6531",
            "fax_number": "219-873-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIZYS",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043925A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045880",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jseizys5716@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7905 Calumet Ave",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.