NPIMap

Organization Active NPI

Orthopedic Specialists of Northwest Indiana LLC

  • Orthopaedic Surgery Physician
  • Munster, IN
National Provider Identifier
1417475658
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTHWEST INDIANA LLC
Practice address
9900 Columbia Ave
Munster, IN 46321-4008
Phone
(219) 924-3300
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Julie Carpenter
Title
Billing Manager
Phone
(219) 934-2652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

9900 Columbia Ave
Munster, IN 46321-4008

Mailing address

PO Box 3329
Munster, IN 46321-0329
Phone (219) 934-2652

Other practice location 1

730 45th Ave
Munster, IN 46321
Phone (219) 934-2652 ext. 136

Other practice location 2

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

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171130001808 IN Part B Supplier - Clinic/Group Practice 0547527400 Receives reassigned benefits from 7 practitioners
Practice locations: Saint John, IN; Munster, IN
O20180329000790 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547527400 Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

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

10200 Wicker Ave
#1
Saint John, IN 46373
Phone (219) 365-6728

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1417475658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3329",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210329",
            "telephone_number": "219-934-2652",
            "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": "219-924-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "46321",
            "country_code": "US",
            "telephone_number": "219-934-2652 x136",
            "fax_number": "219-934-2658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10200 Wicker Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739439",
            "country_code": "US",
            "telephone_number": "219-924-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALISTS OF NORTHWEST INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-934-2652"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdedhia@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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.