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

MS. Anisa Meghan Jallal, PA-C

Individual provider Medical Physician Assistant · NPI 1841841822

MS. Anisa Meghan Jallal, PA-C is a Physician Assistant in Carmel, Indiana. Qualified in 2019, 7 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
7
Licensed in
FL, IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10590 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone: (317) 583-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 — (239) 985-1925
  • 16271 Bass Rd, Fort Myers, FL 33908-3616 — (239) 985-1925

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10004387A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1167615 (FL)

Record details

NPI number1841841822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2019
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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