Michael Anthony Acquaviva, MD | |
705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | |
(317) 944-9981 | |
(317) 944-8699 |
Full Name | Michael Anthony Acquaviva |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972765444 | NPI | - | NPPES |
200989720 | Medicaid | IN | |
000000657692 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036.119149 (Illinois) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 01066743A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iu Anesthesiology Associates-pediatrics, Llc | 5698770527 | 29 |
Entity Name | Iu Anesthesiology Associates-pediatrics, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083651335 PECOS PAC ID: 5698770527 Enrollment ID: O20060927000033 |
Mailing Address | Practice Location Address |
---|---|
Michael Anthony Acquaviva, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Michael Anthony Acquaviva, MD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-9981 |
Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503 | |
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 | |
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191 | |
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191 | |
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 |