Indiana Sports & Medical Science Institute, PC
NPI 1609155290 · Clinic/Center · Crown Point, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indiana Sports & Medical Science Institute, PC is a Clinic/Center organization in Crown Point, IN (NPI 1609155290).
Provider details
- NPI number
- 1609155290
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Mullaly, Owner(810) 814-2661
- License
- 02003099A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Frequently asked questions
- What is Indiana Sports & Medical Science Institute, PC's NPI number?
- Indiana Sports & Medical Science Institute, PC's National Provider Identifier (NPI) is 1609155290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indiana Sports & Medical Science Institute, PC?
- Indiana Sports & Medical Science Institute, PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Indiana Sports & Medical Science Institute, PC located?
- Indiana Sports & Medical Science Institute, PC's practice location on file with NPPES is 11275 Delaware Pkwy Ste a, Crown Point, IN 46307-7812.
- What is Indiana Sports & Medical Science Institute, PC's phone number?
- The practice phone number listed in the NPPES registry for Indiana Sports & Medical Science Institute, PC is (219) 779-8735.
- Does Indiana Sports & Medical Science Institute, PC accept Medicare?
- Indiana Sports & Medical Science Institute, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Indiana Sports & Medical Science Institute, PC?
- The authorized official listed on Indiana Sports & Medical Science Institute, PC's NPPES record is Timothy Mullaly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indiana Sports & Medical Science Institute, PC's NPI active?
- Yes — Indiana Sports & Medical Science Institute, PC's NPI (1609155290) is active in the NPPES registry as of the last update on 2022-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.