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Shane Michael Ditty, MD

Anesthesiology Physician in South Bend, IN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104039288

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Registry record

Entity type Individual (Type 1)
Name Shane Michael Ditty
Credential MD
Sex Male
Practice address 416 E Monroe St, Ste. 200, South Bend, IN, 46601
Phone (574) 232-8119
Fax (574) 288-0235
Enumeration date May 7, 2007
Last updated in NPPES Oct 6, 2008

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 01060795 (IN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
200859480 Medicaid IN -
236080EE Other IN MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Shane Ditty?
The National Provider Identifier (NPI) for Shane Ditty is 1104039288, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shane Ditty practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-06.