TYLER BERNARD SHUBITOWSKI MD
NPI 1104405612
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN
NPI Status: Active since April 03, 2021
Contact Information
1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-4716
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- PECOS Enrolled
About TYLER SHUBITOWSKI
This page provides the complete NPI Profile along with additional information for Tyler Shubitowski, a pediatrician established in Indianapolis, Indiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1104405612 assigned on April 2021. The practitioner's primary taxonomy code is 2080N0001X with license number 01096739A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104405612
- Provider Name
- TYLER BERNARD SHUBITOWSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1030 W MICHIGAN ST STE C4600 INDIANAPOLIS, IN 46202
- Location Phone
- (317) 274-4716
- Mailing Address
- 1030 W MICHIGAN ST STE C4600 INDIANAPOLIS, IN 46202
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2021
- Last Update Date
- 07-30-2025
- Code Navigator
A pediatrician like Tyler Shubitowski is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 8001 Challis Rd
Brighton, MI 48116
(734) 539-5080
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01096739A
- License State
- IN
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 4301514707 (MI) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 4351049056 (MI) |
Medicare Participation & PECOS Enrollment Status
Tyler Shubitowski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104405612, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
INDIANAPOLIS, IN 46202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104405612, enumerated as an "individual" on April 03, 2021.
The provider is located at 1030 W MICHIGAN ST STE C4600 INDIANAPOLIS, IN 46202 and the phone number is (317) 274-4716.
Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.
