Individual provider Active NPI

Michael M. Liddy, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1285845552
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01091926A Issued in IN
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

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004003300MedicaidFL
14F6MOtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
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, AZ10 enrollments
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.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20110829000122 FL Practitioner - Anesthesiology 8022288109 Reassigns benefits to 2 organizations
I20231204001205 IN Practitioner - Anesthesiology 8022288109 Reassigns benefits to 2 organizations
I20240214004195 ME Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization
I20241226000882 NM Practitioner - Anesthesiology 8022288109 Reassigns benefits to 2 organizations
I20250127000658 IA Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization
I20250514003033 WA Practitioner - AnesthesiologyPractitioner - Other (Physician) 8022288109 Reassigns benefits to 1 organization
I20250626003029 WI Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization
I20250730004541 GA Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization
I20260107000029 TX Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization
I20260204001545 AZ Practitioner - Anesthesiology 8022288109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

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 Hospital, Bangor, ME, CCN 200033
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • SSM Health St Agnes Hospital-Fond Du Lac Hospital, Fond Du Lac, WI, CCN 520088

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
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

LicenseStateTypeSpecialty
79070AZMDAnesthesiology Physician
01091926AINMDAnesthesiology Physician
2024042416MOMDAnesthesiology Physician
W1624TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Jan 21, 2026 Accepting new patients
SMH Physician Services Inc CurrentSince Apr 17, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 10, 2024 Accepting new patients
Sarasota Anesthesiologists, PA Anesthesiology CurrentSince Jan 4, 2021 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 21, 2026 Accepting new patients
Mercy Medical Center Current Accepting new patients
Main Street Anesthesia of New Mexico, LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Jul 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Brevard Physician Associates, PLLC Anesthesiology CurrentSince Jun 26, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 19, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 10, 2024 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Aug 4, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Apr 18, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Apr 18, 2025 Accepting new patients
Resource Anesthesiology Associates of NM Inc Anesthesiology CurrentSince Oct 13, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 10, 2024 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jan 19, 2026 Accepting new patients
Agnesian Healthcare Inc Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 10, 2024 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Franciscan Medical Group Past Accepting new patients
Sarasota Anesthesia PastSince Jan 1, 2021 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

  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

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Sources for this page

Verify at the official NPI Registry.