Orthopedic and Sports Medicine Center of Northern Indiana, Inc
Organization Active NPI Orthopaedic Surgery Physician · Elkhart, IN
NPI 1710085253 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1710085253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 50000745A (IN)
- Legal business name
- ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
- Practice address
- 2310 California Rd Ste a
Elkhart, IN 46514-1228 - Phone
- (574) 264-0791
- Fax
- (574) 262-9650
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Heidi Schaffer
- Title
- Chief Operating Officer
- Phone
- (574) 264-0791
Other NPIs with the same Medicare PAC ID 4
Practitioners 63
-
Emily Lauren Aitken, OTR
-
Aries S. Calingo, P.T.
-
Erick James Heckaman, DPT
-
Jacob Hinkley, D.O.
-
Olga Hodgetts, DPT
-
Skyler King, D.O.
-
Erin Beth Kuntz, NP
-
Megan Kathleen Maloney, PA-C
-
Lacy Mroz, DPT
-
Amanda Schlarb, DPT
-
Kyle Alexander Schultz, D.O.
-
Jeffrey Robert Sonntag, D.O.
-
Tamra Kay Taylor, PT
-
Celeste M Warlick, N.P.
-
Danielle Marie Costantini, OTR/L
-
Christopher M. Annis, M.D.
-
David A Beatty, MD
-
Stacy Beshara, PT
-
Edith M Cullen, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727000002 | IN | Part B Supplier - Clinic/Group Practice | 0840260105 |
Receives reassigned benefits from 58 practitioners Practice locations: Elkhart, IN; Nappanee, IN; Middlebury, IN; Goshen, IN |
National Provider Directory
Locations
2310 California Rd
Ste B
Elkhart, IN 46514
Phone (574) 264-0791
600 N Main St
Middlebury, IN 46540
Phone (574) 825-8685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 50000745A | IN | |
| Orthopaedic Surgery Physician |
207X00000X | 50000745A | IN | Yes |
| Orthopaedic Hand Surgery Physician |
207XS0106X | |||
| Orthopaedic Foot and Ankle Surgery Physician |
207XX0004X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician |
2081S0010X |
Addresses
Primary practice location
2310 California Rd Ste a
Elkhart, IN 46514-1228
Mailing address
2310 California Rd Ste a
Elkhart, IN 46514-1228
Phone (574) 264-0791
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100111780 | Medicaid | IN |
Other names
- OSMC
- Orthopedic & Sports Medicine Center (OSMC)
NPI Registry JSON
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1710085253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA RD STE A",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-0791",
"fax_number": "574-262-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA RD STE A",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-0791",
"fax_number": "574-262-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "SCHAFFER",
"authorized_official_first_name": "HEIDI",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "574-264-0791"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "50000745A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "50000745A",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100111780",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSMC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "OSMC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orthopedic & Sports Medicine Center (OSMC)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkhart, IN
- Open and Wide MRI, LLC
- Optum Behavioral Care of Colorado, P.C.
- Oral Surgery Center of Elkhart, Inc
- Myrna P. Orbana
- Melitza Ortega
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc.
- Christina Ortiz
- Natalie Ortiz
- Osolo Emergency Medical Services Inc
- Osolo Fire & EMS Inc.
All providers in Elkhart, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.