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

Individual provider Anesthesiology Physician · NPI 1932357407

Johanna Henderson Wallisa, MD is an Anesthesiology in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2004, 22 years ago. Practices with Northside Anesthesia Services, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2008
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

702 Barnhill Dr Rm 2001
Indianapolis, IN 46202-5128
Phone: (317) 274-9981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01063488A (IN)

Record details

NPI number1932357407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 8, 2008
Last updated in NPPESSeptember 8, 2008

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Northside Anesthesia Services, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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