Individual provider Active NPI

Cydney Bullock Tipton, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Merrillville, IN
National Provider Identifier
1801325972
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01091674A Issued in IN
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

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9638063894, 131 clinicians

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 Hospital, Gary, IN, CCN 150002
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151788ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Dec 16, 2024 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc CurrentSince Dec 11, 2023 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
The Methodist Hospitals, Inc Endocrinology, Diabetes & Metabolism CurrentSince Dec 16, 2024 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Dec 11, 2023 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

  • Direct secure messaging: cydney.bullocktipton.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.