Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edwin Boediono Liem, MD

Individual provider Anesthesiology Physician · NPI 1952354623

Dr. Edwin Boediono Liem, MD is an Anesthesiology in New Albany, Indiana. Qualified in 1994, 32 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Indiana and Kentucky.

Years since qualifying
32
Licensed in
FL, IN, KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4023 Reas Ln
New Albany, IN 47150-2228
Phone: (812) 206-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 577-4200
  • 200 Abraham Flexner Way, Louisville, KY 40202-2877 — (502) 587-4011

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01066649A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 36354 (KY)
Anesthesiology Physician Taxonomy 207L00000X · Licence ME170722 (FL)

Record details

NPI number1952354623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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