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

Tyler Bernard Shubitowski, MD

Individual provider Pediatrics Physician · NPI 1104405612

Tyler Bernard Shubitowski, MD is a Pediatrics Physician in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1030 W Michigan St Ste C4600
Indianapolis, IN 46202-5201
Phone: (317) 274-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8001 Challis Rd, Brighton, MI 48116-7446 — (734) 539-5080

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 01096739A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 4301514707 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351049056 (MI)

Record details

NPI number1104405612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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