Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin Tyler Qualizza, PA-C

Individual provider Surgical Physician Assistant · NPI 1639778970

Austin Tyler Qualizza, PA-C is a Physician Assistant in Chesterton, Indiana. Qualified in 2020, 6 years ago. Practices with Lakeshore Bone and Joint Institute, PC, a 84-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 E 109th Ave, Crown Point, IN 46307 — (219) 921-1444
  • 833 W Lincoln Hwy Ste 110, Schererville, IN 46375-1674 — (219) 921-1444

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10003133 (IN)

Record details

NPI number1639778970
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lakeshore Bone And Joint Institute, Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chesterton