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Anna Leigh Ditslear

Physician Assistant in Indianapolis, IN. Individual provider (NPI-1).

NPI number1497328355
StatusActive
Last updated in NPPESAug 18, 2022

Details

NPI
1497328355
Entity type
Individual (NPI-1)
Name
Anna Leigh Ditslear
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 20, 2021
Certification date
Aug 18, 2022
Last updated
Aug 18, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10003539AINYes

Practice location

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Phone 317-355-1411

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

4922 E 161st St
Noblesville, IN 46062-9239

Phone 317-850-5773

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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