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

Deidra Bedgood

Individual provider Physician Assistant · NPI 1659028611

Deidra Bedgood is a Physician Assistant in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Eskenazi Medical Group Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
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Practice location Address checks out

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003526A (IN)

Record details

NPI number1659028611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing addressPo Box 637764, Cincinnati, OH 45263-7764

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eskenazi Medical Group Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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