Active NPI
Sean A Chrystal, DO
- Hospitalist Physician
- Dyer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 02003500A
- Practice address
- 24 Joliet St
Dyer, IN 46311-1705 - Phone
- (219) 852-1524
- Fax
- (219) 933-2288
- NPI assigned
- Jun 7, 2007
- Last updated
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02003500A | IN | |
| Internal Medicine Physician | 207R00000X | 02003500A | IN | |
| Hospitalist Physician | 208M00000X | 02003500A | IN | Primary |
Addresses
Primary practice location
24 Joliet St
Dyer, IN 46311-1705
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 933-2077
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036117518 - CODE 4 | Medicaid | IN | |
| 036-117518 | Other | IL | LICENSE |
| 02003500A | Other | IN | LICENSE |
| 200944290 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 864-2059
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.78 of 100
- Quality
- 90.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003500A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa Bay Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Northern Illinois Inc | Emergency Medicine | Past | Accepting new patients |
| Empact Emergency Physicians LLC | Past | Accepting new patients |
Locations
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Interoperability endpoints
- schrystal65657@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
dba Rush Copley Medical Center
- General Acute Care Hospital
- Aurora, IL
- NPI 1982985032
-
- Emergency Medicine Physician
- Ottawa, IL
- NPI 1427217504
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1598968406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JOLIET ST",
"city": "DYER",
"state": "IN",
"postal_code": "463111705",
"telephone_number": "219-852-1524",
"fax_number": "219-933-2288"
}
],
"practiceLocations": [
{
"address_1": "5454 Hohman Ave",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "IN",
"postal_code": "463201931",
"country_code": "US",
"telephone_number": "219-933-2077",
"fax_number": "219-864-2649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRYSTAL",
"first_name": "SEAN",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003500A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02003500A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02003500A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036117518 - CODE 4",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036-117518",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "02003500A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200944290",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.