TYLER BERNARD SHUBITOWSKI MD
NPI 1104405612
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Q: What is Tyler Shubitowski's NPI number?

The NPI number for Tyler Shubitowski is 1104405612. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Tyler Shubitowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Shubitowski was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2021PECOS Enrolled

1030 W MICHIGAN ST STE C4600, INDIANAPOLIS, IN 46202(317) 274-4716 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2022, Apr 3, 2021 (2 updates tracked since 2021).

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About Tyler Bernard Shubitowski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BERNARD SHUBITOWSKI MD (NPI 1104405612) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (01096739A) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1104405612

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameTYLER BERNARD SHUBITOWSKICredential: MD

Location Address1030 W MICHIGAN ST STE C4600Indianapolis, IN 46202-5201

Mailing Address1030 W Michigan St Ste C4600Indianapolis, IN 46202-5201

Phone(317) 274-4716

Sole ProprietorNo

Enumeration DateApril 3, 2021

Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1104405612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 01096739A

Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 4301514707 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351049056 (MI)

1030 W MICHIGAN ST STE C4600, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 18001 Challis RdBrighton, MI 48116-7446 · Phone (734) 539-5080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Bernard Shubitowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL DAVID ADAMS MD

Student in an Organized Health Care Education/Training Program

1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202

Marion County (317) 278-6425

DR. JAMES A. LEMONS MD

Pediatrics (Neonatal-Perinatal Medicine)

1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202

Marion County (317) 274-4779

CALLIE ROSE FISCHER MD

Pediatrics (Neonatal-Perinatal Medicine)

1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202

Marion County (317) 278-6425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Shubitowski's NPI number?

The NPI number for Tyler Shubitowski is 1104405612. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Tyler Shubitowski located?

Tyler Shubitowski practices at 1030 W Michigan St Ste C4600, Indianapolis, IN 46202. The listed phone number is (317) 274-4716.

What is Tyler Shubitowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tyler Shubitowski enrolled in Medicare?

Yes. Tyler Shubitowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Shubitowski was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.