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TYNESE SIMONE ANDERSON M.D.
NPI 1528327731
Family Medicine in Gary, IN

Active since May 08, 2012PECOS Enrolled
1021 W 5TH AVE, GARY, IN 46402(219) 880-1190(219) 378-7147 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2021, Nov 4, 2019 (2 updates tracked since 2019).

About Tynese Simone Anderson M.d. NPPES

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

TYNESE SIMONE ANDERSON M.D. (NPI 1528327731) is an individual family medicine provider in Gary, Indiana, licensed in Indiana (01084389A) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528327731
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTYNESE SIMONE ANDERSONCredential: M.D.
Location Address1021 W 5TH AVEGary, IN 46402-1703
Mailing Address1021 W 5th AveGary, IN 46402-1703 · (219) 880-1190 · Fax (219) 378-7147
Phone(219) 880-1190
Fax(219) 378-7147
Sole ProprietorYes
Enumeration DateMay 8, 2012
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1528327731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01084389A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1021 W 5TH AVE, Gary, IN 46402
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1651 S Limestone StSpringfield, OH 45505-1965 · Phone (937) 324-1111
Location 2859 N Main StMalta, OH 43758-9007 · Phone (740) 962-6111

Other Identifiers 1

Other300042215IN · Indiana Lpi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tynese Simone Anderson M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Tynese Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Healthnet Inc
Same address
Community Health
1021 WEST 5TH AVENUE
Gary, IN 46402
  • Reassigned Medicare billing, Indiana enrollment
  • 36 clinicians in this Medicare group
NPI 1952332298 (219) 880-1190

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

JANET SEABROOK M.D.
Family Medicine
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190
STEPHANIE JAHODA
Registered Nurse (Community Health)
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190
DR. STEVE SIMPSON M.D.
Specialist
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190
SONOGRAPHIC IMAGES, INC
Radiology (Diagnostic Radiology)
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 836-4702
TARYN YOLANDA EASTLAND
Nurse Practitioner (Family)
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190
BETTY NAKITENDE
Pharmacist
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 702-2476
MELVIN D RICHARDSON MD
Family Medicine
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190
VALERIE JEAN ROYAL FNP
Nurse Practitioner (Family)
1021 W 5TH AVE
GARY, IN 46402
Lake County (219) 880-1190

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 Tynese Anderson's NPI number?

The NPI number for Tynese Anderson is 1528327731. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Tynese Anderson located?

Tynese Anderson practices at 1021 W 5th Ave, Gary, IN 46402. The listed phone number is (219) 880-1190.

What is Tynese Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tynese Anderson enrolled in Medicare?

Yes. Tynese Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tynese Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tynese Anderson reassigns Medicare benefits to Community Healthnet Inc (Gary, IN). The 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 Tynese Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tynese Anderson was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.