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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043848120

Dylan Jasper Long, MD is an Emergency Medicine in Lafayette, Indiana. Qualified in 2020, 6 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (317) 838-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 E North Ave, Pittsburgh, PA 15212-4772 — (412) 359-4905

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01089946A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043848120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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