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

Kerry M. Ettensohn, MD

Individual provider Anesthesiology Physician · NPI 1821252107

Kerry M. Ettensohn, MD is an Anesthesiology in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2005, 21 years ago. Practices with Southeast Anesthesiologists, Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
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

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone: (317) 345-3116
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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 01064889A (IN)

Record details

NPI number1821252107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2008
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Southeast Anesthesiologists, Inc. — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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