NPIMap

Individual provider Active NPI

Crystal Ilke Tuncay, DO

  • Internal Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1992790414
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02003668A Issued in IN
Practice address
1231 Cumberland Crossing Drive
Valparaiso, IN 46383-2192
Phone
(219) 548-3843
Fax
(219) 548-3256
NPI assigned
Sep 12, 2005
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02003668A IN Primary

Addresses

Primary practice location

1231 Cumberland Crossing Drive
Valparaiso, IN 46383-2192

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystal.tuncay.1@2340.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006001104 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 9739371964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone (219) 548-3843

4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-7005

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
02003668AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Porter Physician Services LLC Internal Medicine Past Accepting new patients

Locations

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

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

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

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1231 Cumberland Xing
Valparaiso, IN 46383
Phone (219) 464-8024

Interoperability endpoints

  • Direct secure messaging: ctuncay156589@direct.franciscanalliance.org

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1992790414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-364-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CUMBERLAND CROSSING DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832192",
            "telephone_number": "219-548-3843",
            "fax_number": "219-548-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNCAY",
        "first_name": "CRYSTAL",
        "middle_name": "ILKE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003668A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.tuncay.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1231 Cumberland Crossing Drive",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463832192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.