Great Lakes Orthopedics & Sports Medicine, PC
NPI 1669472270 · Orthopaedic Surgery Physician · Saint John, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Orthopedics & Sports Medicine, PC is a Orthopaedic Surgery Physician organization in Saint John, IN (NPI 1669472270).
Provider details
- NPI number
- 1669472270
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keith Pitchford, President/Ceo(219) 365-0220
- License
- 07001187A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1020 E Commercial AveLowell, IN 46356-2310Phone: (219) 696-6353Fax: (219) 696-6368
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2018-03-17
Frequently asked questions
- What is Great Lakes Orthopedics & Sports Medicine, PC's NPI number?
- Great Lakes Orthopedics & Sports Medicine, PC's National Provider Identifier (NPI) is 1669472270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Orthopedics & Sports Medicine, PC?
- Great Lakes Orthopedics & Sports Medicine, PC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Orthopedics & Sports Medicine, PC located?
- Great Lakes Orthopedics & Sports Medicine, PC's practice location on file with NPPES is 9615 Keilman St, Saint John, IN 46373-9406.
- What is Great Lakes Orthopedics & Sports Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Orthopedics & Sports Medicine, PC is (219) 365-0220.
- Does Great Lakes Orthopedics & Sports Medicine, PC accept Medicare?
- Great Lakes Orthopedics & Sports Medicine, 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 Great Lakes Orthopedics & Sports Medicine, PC?
- The authorized official listed on Great Lakes Orthopedics & Sports Medicine, PC's NPPES record is Keith Pitchford, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Orthopedics & Sports Medicine, PC's NPI active?
- Yes — Great Lakes Orthopedics & Sports Medicine, PC's NPI (1669472270) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.