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

Jessica L Hata, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1770809410

Jessica L Hata, MD is a Pathology in Indianapolis, Indiana. Graduated from Wake Forest University School of Medicine in 2010, 16 years ago. Practices with Carolinas Pathology Group PA, a 50-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
16
Trained at
Wake Forest University School of Medicine
Licensed in
IN, KY
In the registry since
2010
Specialties on file
4
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

550 University Blvd
Indianapolis, IN 46202-5149
Phone: (317) 491-6000
Fax: (317) 491-6534
Show map & directions

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

Additional practice locations (2)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258
  • 231 E Chestnut St, Louisville, KY 40202-1821 — (502) 456-6212

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 01090724A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 46784 (KY)
Pediatric Pathology Physician Taxonomy 207ZP0213X · Licence 46784 (KY)
Pediatric Pathology Physician Taxonomy 207ZP0213X · Licence 01090724A (IN)

Record details

NPI number1770809410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2010
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Carolinas Pathology Group Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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