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

Mitchell Paeth

Individual provider Obesity and Weight Management Nutrition Registered Dietitian · NPI 1922939974

Mitchell Paeth is a Registered Dietitian OR Nutrition Professional in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

5255 E Stop 11 RD Ste 440
Indianapolis, IN 46237-6341
Phone: (317) 528-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37004551A (IN)
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X

Record details

NPI number1922939974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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