ORTHOPEDIC SPECIALISTS OF NORTHWEST INDIANA LLC
NPI 1417475658
Orthopaedic Surgery in Munster, IN

Active since September 08, 2017
9900 COLUMBIA AVE, MUNSTER, IN 46321(219) 924-3300 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2025, Mar 25, 2021, Jul 19, 2018 (3 updates tracked since 2018).

About Orthopedic Specialists Of Northwest Indiana Llc NPPES

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

ORTHOPEDIC SPECIALISTS OF NORTHWEST INDIANA LLC (NPI 1417475658) is a healthcare organization registered as an orthopaedic surgery in Munster, Indiana and active in the NPI registry since September 2017. The organization maintains 2 additional practice locations and lists Julie Carpenter, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1417475658
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPEDIC SPECIALISTS OF NORTHWEST INDIANA LLC
Location Address9900 COLUMBIA AVEMunster, IN 46321-4008
Mailing AddressPo Box 3329Munster, IN 46321-0329 · (219) 934-2652 · Fax (219) 934-2658
Organization SubpartNo
Authorized OfficialJulie CarpenterBilling Manager · (219) 934-2652
Enumeration DateSeptember 8, 2017
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1417475658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
9900 COLUMBIA AVE, Munster, IN 46321

Secondary Practice Locations 2

Location 110200 Wicker Ave Ste 1Saint John, IN 46373-9439 · Phone (219) 924-3300
Location 2730 45th AveMunster, IN 46321 · Phone (219) 934-2652 ext. 136 · Fax (219) 934-2658

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopedic Specialists Of Northwest Indiana Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20180329000790DME · Physician - Orthopedic/Orthopedic SurgeryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Orthopedic Specialists Of Northwest Indiana LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1235768078
9900 COLUMBIA AVE
Munster, IN 46321
(219) 924-3300
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1932369543
9900 COLUMBIA AVE
Munster, IN 46321
(219) 924-3300
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1679582803
9900 COLUMBIA AVE
Munster, IN 46321
(219) 924-3300
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1134515000
9900 COLUMBIA AVE
Munster, IN 46321
(219) 924-3300
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1326209347
9900 COLUMBIA AVE
Munster, IN 46321
(219) 924-3300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orthopedic Specialists Of Northwest Indiana LLC's NPI number?

The NPI number for Orthopedic Specialists Of Northwest Indiana LLC is 1417475658. It was assigned to this organization in the NPPES registry on September 8, 2017.

Where is Orthopedic Specialists Of Northwest Indiana LLC located?

Orthopedic Specialists Of Northwest Indiana LLC is located at 9900 Columbia Ave, Munster, IN 46321. The listed phone number is (219) 924-3300.

What is Orthopedic Specialists Of Northwest Indiana LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Orthopedic Specialists Of Northwest Indiana LLC enrolled in Medicare?

Yes. Orthopedic Specialists Of Northwest Indiana LLC is registered in the Medicare PECOS enrollment system.

When is Orthopedic Specialists Of Northwest Indiana LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Orthopedic Specialists Of Northwest Indiana LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Orthopedic Specialists Of Northwest Indiana LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (3), Hand Surgery (1) and Podiatry (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orthopedic Specialists Of Northwest Indiana LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Orthopedic Specialists Of Northwest Indiana LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orthopedic Specialists Of Northwest Indiana LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.