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

Dirk Tanis, DO

Individual provider Anesthesiology Physician · NPI 1306587266

Dirk Tanis, DO is an Anesthesiology Physician in Indianapolis, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2022.

Licensed in
IN, MI
In the registry since
2022
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.

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Practice location Address checks out

1130 W Michigan St
Indianapolis, IN 46202-5149
Phone: (317) 944-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 11022758A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 5151015444 (MI)

Record details

NPI number1306587266
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address200 Jefferson Ave Se, Grand Rapids, MI 49503-4502

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