Active NPI
Cydney Bullock Tipton, MD
- Endocrinology, Diabetes & Metabolism Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 01091674A
- Practice address
- 6091 Broadway
Merrillville, IN 46410-2619 - Phone
- (219) 763-8112
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125070446 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036.151788 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01091674A | IN | Primary |
Addresses
Primary practice location
6091 Broadway
Merrillville, IN 46410-2619
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Other practice location 1
1717 W. Congress Pkwy
Chicago, IL 60612
Phone (312) 942-5000
Other practice location 2
300 E Superior St # 15-703
Chicago, IL 60611-3010
Phone (312) 503-0006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200701000574 | IL | Practitioner - Hospitalist | 7810268455 | Reassigns benefits to 1 organization |
| I20231220000248 | IN | Practitioner - Endocrinology | 7810268455 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Methodist Hospitals Inc
Practice addresses (Care Compare)
200 E 89TH Ave
Methodist Surgical Services
Merrillville, IN 46410-7318
Phone (219) 738-5330
Hospital & facility affiliations
- Methodist Hospitals Inc
- Community Hospital
- St Mary Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.151788 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc | Current | Accepting new patients | |
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Larabida Childrens Hospital | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
Ste 500
Chicago, IL 60612
Phone (312) 563-2875
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
6091 Broadway
Merrillville, IN 46410
Phone (219) 763-8113
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- cydney.bullocktipton.p1@direct.northshorehealth.nextgenshare.com
- cbullocktipton189548@themethodisthospitals.direct-ci.com
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
IN
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
IL, Internal Medicine
-
- Gynecologic Oncology Physician
- Gary, IN
- NPI 1124283858
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Pharmacy
- Gary, IN
- NPI 1932672888
-
- Rehabilitation Hospital Unit
- Gary, IN
- NPI 1710039508
-
- Home Health Agency
- Merrillville, IN
- NPI 1760474670
-
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1023440526
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Endocrinology, Diabetes & Metabolism Physician
- Gary, IN
- NPI 1265109227
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1801325972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463689230",
"telephone_number": "219-763-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6091 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102619",
"telephone_number": "219-763-8112"
}
],
"practiceLocations": [
{
"address_1": "1717 W. Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "312-942-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 E Superior St # 15-703",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113010",
"country_code": "US",
"telephone_number": "312-503-0006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLOCK TIPTON",
"first_name": "CYDNEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125070446",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036.151788",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01091674A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.