Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Timothy James Mullally, DO

Sports Medicine (Family Medicine) Physician in Crown Point, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366462046

Verified

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Registry record

Entity type Individual (Type 1)

Name Timothy James Mullally

Credential DO

Sex Male

Practice address 11275 Delaware Pkwy, Crown Point, IN, 46307

Phone (219) 779-8735

Fax (877) 715-2312

Enumeration date Jul 19, 2006

Last updated in NPPES Mar 25, 2019

Taxonomy & licenses

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 02003099A (IN) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02003099A (IN) Secondary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
200829740	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Timothy Mullally's NPI record?

Cross-check NPI 1366462046 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1366462046 active?

Yes, as of the latest NPPES snapshot, NPI 1366462046 is active (record last updated 2019-03-25).

Other providers at this practice address

Browse all →

Lisa Mullally Family Medicine Physician · Crown Point, IN NPI 1861462012 Kunteera Tarin Internal Medicine Physician · Crown Point, IN NPI 1740411305 Lauren Parker Family Nurse Practitioner · Crown Point, IN NPI 1538517990 John Kern Physician Assistant · Crown Point, IN NPI 1598366155

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-25.