MARK R BROADY (MD) – Anesthesiology Physician, NPI 1285664631

MARK R BROADY (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01033734 (IN). The NPI Number for MARK R BROADY (MD) is 1285664631

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK R BROADY (MD)
NPI
1285664631
Phone
(317) 567-2180
Address
PO BOX 7232
Enumeration Date
3 July 2006
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175285000
Graduation Year
1984 (42 years ago)
PAC ID
5496941189
Group Practice PAC ID
6800837980
Professional Enrollment ID
I20101119000907
Address ID
IN462378601IN8111XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for MARK R BROADY (MD)

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    DEPT 118

    INDIANAPOLIS, IN 462077232

    Phone: (317) 567-2180

    Fax: (317) 567-2191

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1701, Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States

    INDIANAPOLIS, IN 462021239

    Phone: (317) 567-2180

    Fax: (317) 567-2191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101119000907IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)3232$0
64449Injection by continuous infusion of anesthetic agent into lower back nerve bundle2424$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1919$0
01402Anesthesia for procedure for total knee joint replacement1717$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint1616$0
View full utilization report →

Insurance plans in this area (ZIP 46207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800837980View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

Can I use this page to confirm MARK R BROADY (MD)'s NPI?
Yes. MARK R BROADY (MD) is listed with NPI 1285664631 in the public NPI dataset.
Does the file indicate MARK R BROADY (MD) is practicing under active NPI?
Directory data currently reports MARK R BROADY (MD) as active.
What is MARK R BROADY (MD)'s specialty?
The listing groups MARK R BROADY (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is MARK R BROADY (MD) based?
MARK R BROADY (MD) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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