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

Samantha Leigh Vanderlaan

Individual provider Physician Assistant · NPI 1932720810

Samantha Leigh Vanderlaan is a Physician Assistant in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Northside Gastroenterology, Inc , PC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1329 W 96th St
Indianapolis, IN 46260-1190
Phone: (317) 660-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932720810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northside Gastroenterology, Inc., Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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