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

Timothy James Mullally, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1366462046

Timothy James Mullally, DO is a Family Practice in Crown Point, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2002, 24 years ago. Practices with Indiana Sports and Medical Science Institute, PC, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

11275 Delaware Pkwy
Crown Point, IN 46307-7812
Phone: (219) 779-8735
Fax: (877) 715-2312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 02003099A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02003099A (IN)

Record details

NPI number1366462046
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 25, 2019
Mailing addressPo Box 108, Crown Point, IN 46308-0108

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2002 (24 years in practice)
Group practice Indiana Sports And Medical Science Institute, Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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