Michael Allen Riddle, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01065010A Issued in IN

Practice address

5470 East 16TH Street
Indianapolis, IN 46218-4861

Phone

(317) 355-5009

Fax

(317) 351-7804

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Recovery Innovations, Inc

  dba RI International

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1609243518
  Medicare reassignment NPD
• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment
• Recovery Innovations, Inc.

  dba Ri International

  • Mental Illness Community Based Residential Treatment Facility
  • Fife, WA
  • NPI 1437554359
  Medicare reassignment
• Recovery Innovations, Inc

  dba Ri International

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fife, WA
  • NPI 1659880078
  NPD
• Community Health Network, Inc

  dba Community Behavioral Professionals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1922336262
  NPD (past)
• Community Health Network, Inc.

  dba Community Hospital North

  • Psychiatric Hospital Unit
  • Indianapolis, IN
  • NPI 1679545966
  NPD (past)
• Banner -- University Medical Center Phoenix Campus Behavioral Health

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1235182262
  NPD (past)
• Recovery Innovations, Inc

  dba RI International

  • Psychiatric Hospital
  • Peoria, AZ
  • NPI 1306971007
  NPD (past)
• Recovery Innovations, Inc

  dba RI International

  • Psychiatric Hospital
  • Peoria, AZ
  • NPI 1548804776
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1487859898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PARKWAY",
            "address_2": "SUITE 230 ATTN SHERRY MUELLER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 EAST 16TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184861",
            "telephone_number": "317-355-5009",
            "fax_number": "317-351-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01065010A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200922400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taki M Rida, M.D.
• Dayna Ridderman, MD
• Beverly Jean Riddle, M.S., L.M.H.C.
• Christina Elizabeth Riddle
• Jason E. Riddle, LCSW
• Michael Jay Riddle Jr., MD
• Nela Riddle
• Skyla L Riddle
• Ride Away Transportation LLC (Ride Away Transportation)
• Ride With US Transportation Inc

• Psychiatry Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.