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

Opkardeep Tut

Individual provider Physician Assistant · NPI 1407398266

Opkardeep Tut is a Physician Assistant in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
10
Licensed in
CA, IN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

6470 N Shadeland Ave Ste D
Indianapolis, IN 46220-4386
Phone: (317) 598-0094
Fax: (317) 468-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10002156A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 53853 (CA)

Record details

NPI number1407398266
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESDecember 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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