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

Letha Tetrick, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710412796

Letha Tetrick, DO is a Family Practice in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7910 E Washington St Ste 200
Indianapolis, IN 46219-5563
Phone: (317) 355-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10122 E 10th St, Indianapolis, IN 46229-2663 — (317) 355-5717

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005720A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11019540A (IN)

Record details

NPI number1710412796
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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