DR. JUDE KIELTYKA M.D.
NPI 1639465776
Emergency Medicine in Gary, IN
About Dr. Jude Kieltyka M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUDE KIELTYKA M.D. (NPI 1639465776) is an individual emergency medicine provider in Gary, Indiana, licensed in Indiana (01075095A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jude Kieltyka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jude Kieltyka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gary, IN 46402
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Condell Medical Center
Acute Care Hospitals · Libertyville, ILPhysician 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jude Kieltyka's NPI number?
The NPI number for Jude Kieltyka is 1639465776. It was assigned to this individual provider in the NPPES registry on June 28, 2011.
Where is Jude Kieltyka located?
Jude Kieltyka practices at 600 Grant St, Gary, IN 46402. The listed phone number is (847) 571-2551.
What is Jude Kieltyka's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jude Kieltyka enrolled in Medicare?
Yes. Jude Kieltyka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jude Kieltyka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jude Kieltyka reassigns Medicare benefits to 2 organizations: Cep America LLC (Gary, IN) and Cepamerica Illinois LLP (Olympia Fields, IL). Each 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 Jude Kieltyka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jude Kieltyka affiliated with any hospitals?
According to CMS data, Jude Kieltyka is affiliated with Advocate Condell Medical Center.
When was this NPI record last updated?
The NPPES record for Jude Kieltyka was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Jude Kieltyka, M.D. · NPI 1639465776
Emergency Medicine physician in Gary, Indiana. Individual provider, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1639465776 (Entity type: Individual)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01075095A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 GRANT ST, Gary, IN 46402-6001
- **Phone:** (847) 571-2551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1619538055, Gary, IN); Cepamerica Illinois LLP (NPI 1811697287, Olympia Fields, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 2011
## Record status
- **NPPES last updated:** May 4, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1639465776) · Data from the CMS NPPES public registry.