Organization Active NPI

Indy Orthopedics

  • Orthopaedic Surgery Physician
  • Merrillville, IN
National Provider Identifier
1386757672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
INDY ORTHOPEDICS
Practice address
521 E 86TH Ave
Suite P
Merrillville, IN 46410-6173
Phone
(219) 755-4550
Fax
(219) 755-4652
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry Moffitt, DONPI 1669419776
Title
President
Phone
(219) 755-4550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

521 E 86TH Ave
Suite P
Merrillville, IN 46410-6173

Mailing address

521 E 86TH Ave
Suite P
Merrillville, IN 46410-6173
Phone (219) 755-4550

National Provider Directory

National Provider Directory

Locations

521 E 86th Ave
#P
Merrillville, IN 46410
Phone (219) 755-4550

521 E 86th Ave
Ste P
Merrillville, IN 46410
Phone (219) 755-4550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386757672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVE",
            "address_2": "SUITE P",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106173",
            "telephone_number": "219-755-4550",
            "fax_number": "219-755-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVE",
            "address_2": "SUITE P",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106173",
            "telephone_number": "219-755-4550",
            "fax_number": "219-755-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-755-4550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.