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

Dr. Jonathan Edwards Ditty, MD

Individual provider Family Medicine Physician · NPI 1518316140

Dr. Jonathan Edwards Ditty, MD is a Family Medicine Physician in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2016
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

4440 Portage Ave
South Bend, IN 46628-9570
Phone: (574) 204-6200
Fax: (574) 239-1520
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01082081A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518316140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2016
Last updated in NPPESJune 28, 2019
Mailing address4440 Portage Ave, South Bend, IN 46628-9570

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