Individual provider Active NPI

Jillian Ditusa, PA-C

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1528947876
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9900 Columbia Ave
Munster, IN 46321-4008
Phone
(219) 924-3300
NPI assigned
Aug 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9900 Columbia Ave
Munster, IN 46321-4008

Mailing address

9900 Columbia Ave
Munster, IN 46321-4008
Phone (219) 924-3300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027000591 IN Practitioner - Physician Assistant 6002305539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Northwest Indiana PCGroup PAC ID 5092788901, 18 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

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

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 945-4488

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of Northwest Indiana LLC CurrentSince Sep 3, 2025 Accepting new patients
Orthopaedic Specialists of Northwest Indiana PC CurrentSince Nov 4, 2025 Accepting new patients
Community Care Network Inc Physician Assistant CurrentSince Oct 20, 2025 Accepting new patients

Locations

1500 S Lake Park Ave
#402
Hobart, IN 46342
Phone (219) 945-4488

9900 Columbia Ave
Munster, IN 46321
Phone (219) 924-3300

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

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

9200 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

9200 Calumet Ave
Ste S200
Munster, IN 46321
Phone (219) 961-9621

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

Organizations & group practices 3

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 5

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": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1528947876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214008",
            "telephone_number": "219-924-3300"
        },
        {
            "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": [],
    "basic": {
        "last_name": "DITUSA",
        "first_name": "JILLIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.