Individual provider Active NPI

Taylor Drake Coleman I, MD

  • Surgery Physician
  • Munster, IN
National Provider Identifier
1669835963
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01085218A Issued in IN
Practice address
10110 Donald S Powers Dr Ste 202
Munster, IN 46321-4070
Phone
(219) 922-8222
Fax
(219) 922-8899
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01085218A IN Primary

Addresses

Primary practice location

10110 Donald S Powers Dr Ste 202
Munster, IN 46321-4070

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 239-2170

Other practice location 1

4320 Fir St Unit 410
East Chicago, IN 46312-3078
Phone (219) 922-8222

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000827 IN Practitioner - General Surgery 2567755622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016

10110 Don S Powers Dr
Suite 202
Munster, IN 46321-4070
Phone (219) 922-8222

4320 Fir St
East Chicago, IN 46312-3078

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01085218AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network, Inc. CurrentSince Jan 28, 2026 Accepting new patients
219 Health Network Inc CurrentSince Jan 28, 2026 Accepting new patients
Porter Physician Services LLC CurrentSince Apr 1, 2021 Accepting new patients
Community Care Network Inc Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

4320 Fir St
Unit 216
East Chicago, IN 46312
Phone (219) 392-7025

4320 Fir St
Unit 410
East Chicago, IN 46312
Phone (219) 392-7665

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

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

10110 Donald S Powers Dr
Ste 202
Munster, IN 46321
Phone (219) 922-0222

Interoperability endpoints

  • Direct secure messaging: tcoleman336147@ssdirect.comhs.org

Organizations & group practices 4

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 2

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1669835963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-239-2170",
            "fax_number": "219-270-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DR STE 202",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214070",
            "telephone_number": "219-922-8222",
            "fax_number": "219-922-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Fir St Unit 410",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463123078",
            "country_code": "US",
            "telephone_number": "219-922-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TAYLOR",
        "middle_name": "DRAKE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01085218A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.