Active NPI
Nathaniel Thomas Moriarty, MD
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 292883
- Practice address
- 1130 W. Michigan St
Fesler Hall 204
Indianapolis, IN 46202 - Phone
- (317) 274-4343
- Fax
- (317) 274-0256
- NPI assigned
- Mar 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 292883 | MA | Primary |
Addresses
Primary practice location
1130 W. Michigan St
Fesler Hall 204
Indianapolis, IN 46202
Mailing address
1130 W. Michigan St
Fesler Hall 204
Indianapolis, IN 46202
Phone (317) 274-4343
Other names 1
- Dr. Nathan Thomas Moriarty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 High St
Greenfield, MA 01301-2613
Phone (413) 794-2273
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
40 Wright St
Palmer, MA 01069-1138
Phone (413) 370-5356
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
- Baystate Medical Center
- Baystate Wing Hospital
- Baystate Noble Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292883 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Anesthesia Service, Inc. | Anesthesiology | Current | Accepting new patients |
| Baystate Medical Practices, Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1093768830
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Anesthesiology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
-
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1649775552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 W. MICHIGAN ST",
"address_2": "FESLER HALL 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-274-4343",
"fax_number": "317-274-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W. MICHIGAN ST",
"address_2": "FESLER HALL 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-274-4343",
"fax_number": "317-274-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "NATHANIEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-24",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "292883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHAN",
"last_name": "MORIARTY",
"middle_name": "THOMAS",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 22, 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.