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

Jerad Diaz, PA-C

Individual provider Physician Assistant · NPI 1912683210

Jerad Diaz, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2023, 3 years ago. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9002 N Meridian St Ste 100
Indianapolis, IN 46260-2301
Phone: (317) 844-5530
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004900A (IN)

Record details

NPI number1912683210
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address9002 N Meridian Street, Suite 100, Indianapolis, IN 46260-2296

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Indianapolis