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

Tyler Daniel Witherspoon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497287627

Tyler Daniel Witherspoon, DO is an Anesthesiology in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. 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

550 University Blvd
Indianapolis, IN 46202-5149
Phone: (317) 274-0275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1130 W Michigan St # Fh204, Indianapolis, IN 46202 — (317) 274-0076
  • 2001 W 86th St, Indianapolis, IN 46260-1902 — (317) 338-6399

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 02005900A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497287627
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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