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

Dr. Edward J Bastyr III, MD

Individual provider General Acute Care Hospital · NPI 1831266154

Dr. Edward J Bastyr III, MD is a General Acute Care Hospital in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
Specialties on file
2
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

720 Eskenazi Ave University Medical Diagnostic Associates Inc
Indianapolis, IN 46202-5166
Phone: (317) 880-5045
Fax: (317) 880-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 01044193A (IN)
General Acute Care Hospital Taxonomy 282N00000X · Licence 01044193A (IN)

Record details

NPI number1831266154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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