Active NPI
Michael M. Liddy, MD
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01091926A
- Practice address
- 8075 N Shadeland Ave Ste 330
Indianapolis, IN 46250-2694 - Phone
- (317) 355-7220
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2024042416 | MO | |
| Anesthesiology Physician | 207L00000X | 01091926A | IN | Primary |
| Anesthesiology Physician | 207L00000X | ME110099 | FL | |
| Anesthesiology Physician | 207L00000X | W1624 | TX | |
| Anesthesiology Physician | 207L00000X | 79070 | AZ |
Addresses
Primary practice location
8075 N Shadeland Ave Ste 330
Indianapolis, IN 46250-2694
Mailing address
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone (941) 366-1164
Other practice location 1
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 751-2649
Other practice location 2
1261 S Tamiami Trl
Sarasota, FL 34239-2219
Phone (941) 366-1164
Other practice location 3
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300
Other practice location 4
2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000
Other practice location 5
2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004003300 | Medicaid | FL | |
| 14F6M | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mliddy@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN, ME, NM, IA, WA, WI, GA, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000
1950 NW Myhre Rd
Silverdale, WA 98383-7662
Phone (560) 240-4000
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (915) 478-0594
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-5250
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 746-7577
417 State St
Bangor, ME 04401-6639
430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
- St Michael Medical Center
- Coliseum Medical Centers, LLC, Dba
- Christus St Michael Health System
- SSM Health St Agnes Hospital-Fond Du Lac
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79070 | AZ | MD | Anesthesiology Physician |
| 01091926A | IN | MD | Anesthesiology Physician |
| 2024042416 | MO | MD | Anesthesiology Physician |
| W1624 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Sarasota Anesthesiologists, PA | Anesthesiology | Current | Accepting new patients |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Anesthesiology | Current | Accepting new patients |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Anesthesiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Resource Anesthesiology Associates of NM Inc | Anesthesiology | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Agnesian Healthcare Inc | Anesthesiology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Sarasota Anesthesia | Past | Accepting new patients |
Locations (25 of 31)
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360
1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
3832 Solutions Ctr
Chicago, IL 60677
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
8075 N Shadeland Ave
Ste 330
Indianapolis, IN 46250
Phone (317) 353-7220
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
489 State St
Bangor, ME 04401
Phone (207) 973-8837
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- mliddy556805@direct-ehr-ssmhc.com
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Anesthesiology
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1386929644
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1285845552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-1164",
"fax_number": "941-366-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE STE 330",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502694",
"telephone_number": "317-355-7220"
}
],
"practiceLocations": [
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-751-2649",
"fax_number": "765-281-6671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1261 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342392219",
"country_code": "US",
"telephone_number": "941-366-1164",
"fax_number": "941-366-3123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-248-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647127",
"country_code": "US",
"telephone_number": "928-344-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2602 Saint Michael Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755035206",
"country_code": "US",
"telephone_number": "903-614-5258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDY",
"first_name": "MICHAEL",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2024042416",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01091926A",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME110099",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "W1624",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "79070",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004003300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14F6M",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mliddy@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.