Michael Anthony Acquaviva, MD
Anesthesiology, Pediatric Anesthesiology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1972765444
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1972765444
- Entity type
- Individual (NPI-1)
- Name
- Michael Anthony Acquaviva
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2008
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | 01066743A | IN | Yes |
| 207L00000X | Anesthesiology | 036.119149 | IL | |
| 207L00000X | Anesthesiology | 01066743A | IN |
Practice location
705 Riley Hospital DrIndianapolis, IN 46202-5109
Phone 317-944-9981 · Fax 317-944-8699
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
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