Michael Alan Ledtke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301038648 Issued in MI

Practice address

8148 Farmhurst Lane
Indianapolis, IN 46236

Phone

(989) 793-7779

Fax

(989) 793-7137

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2013 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1225146038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8148 FARMHURST LANE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46236",
            "telephone_number": "989-793-7779",
            "fax_number": "989-793-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8148 FARMHURST LANE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46236",
            "telephone_number": "989-793-7779",
            "fax_number": "989-793-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDTKE",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301038648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0737374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Ann Ledford, DNP, FNP-BC
• Nikki Ledgerwood, B.S., C.A.D.A.C. II
• Shelbi Ledgerwood
• Catherine Sophia Ledoux
• Iliana Ledoux
• Robin Ledyard, M.D.
• Thomas H Ledyard, MD
• Carolyn Yvonne Lee Carter, MSW
• Reina Sul Lee-Jung, DC
• Takara Marie Lee-Spaulding

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.