Active NPI
Michael J. Cloud, MD
- Family Medicine Physician
- Zionsville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01074072A
- Practice address
- 6085 Heartland Dr Ste 205
Zionsville, IN 46077-4433 - Phone
- (317) 768-2200
- Fax
- (317) 768-2209
- NPI assigned
- Jun 17, 2011
- Last updated
- Oct 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01074072A | IN | Primary |
Addresses
Primary practice location
6085 Heartland Dr Ste 205
Zionsville, IN 46077-4433
Mailing address
2605 N Lebanon St
Lebanon, IN 46052-1476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201104760 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcloud@withamdirect.org | Health Information Exchange (HIE) | Witham Memorial Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 W Oak St
Zionsville, IN 46077-3835
6085 Heartland Dr
Zionsville, IN 46077-4433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074072A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Witham Memorial Hospital | Current | Accepting new patients |
Locations
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677
1650 W Oak St
Ste 101
Zionsville, IN 46077
Phone (317) 733-6300
6085 Heartland Dr
Ste 205
Zionsville, IN 46077
Phone (317) 768-2200
Interoperability endpoints
- mcloud@withamdirect.org
Organizations & group practices 2
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.
-
dba Witham Health Services
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
dba Witham Rehabilitation Services, Anson at Whitestown
- Physical Therapist
- Zionsville, IN
- NPI 1952282204
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
-
dba Witham Health Services
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1619262656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6085 HEARTLAND DR STE 205",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460774433",
"telephone_number": "317-768-2200",
"fax_number": "317-768-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUD",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01074072A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201104760",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcloud@withamdirect.org",
"affiliation": "Y",
"affiliationName": "Witham Memorial Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "6085 Heartland Dr Ste 205",
"city": "Zionsville",
"state": "IN",
"country_code": "US",
"postal_code": "460774433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
- 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.