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

Individual provider Surgical Physician Assistant · NPI 1306270533

India Pettus, PA-C is a Physician Assistant in Chevy Chase, Maryland. Qualified in 2012, 14 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4404
Phone: (301) 657-9876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0005125 (MD)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0005125 (MD)

Record details

NPI number1306270533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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