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

Dr. Jeremiah Ellingsworth, DO

Individual provider Psychiatry Physician · NPI 1992268437

Dr. Jeremiah Ellingsworth, DO is a Psychiatry in Indianapolis, Indiana. Graduated from William Carey University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Union Associated Physicians Clinic, LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Indiana and Mississippi.

Years since qualifying
7
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
IN, MS
In the registry since
2019
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.

See every abbreviation used in this directory →

Practice location Address checks out

1002 Wishard Blvd Ste 4016
Indianapolis, IN 46202-4164
Phone: (317) 274-6450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 02006805A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence T-3765 (MS)

Record details

NPI number1992268437
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Union Associated Physicians Clinic, Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis