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

Dr. Jeremy Scott Wittenborn, MD

Individual provider Nephrology Physician · NPI 1255340691

Dr. Jeremy Scott Wittenborn, MD is a Nephrology in Indianapolis, Indiana. Graduated from Southern Illinois University School of Medicine in 2003, 23 years ago. Practices with Nephrology Associates of Northern Indiana PC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
23
Trained at
Southern Illinois University School of Medicine
Licensed in
IN
In the registry since
2006
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

5510 S East St Ste H
Indianapolis, IN 46227-1939
Phone: (317) 924-8425
Fax: (317) 924-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01062568A (IN)

Record details

NPI number1255340691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Nephrology Associates Of Northern Indiana Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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