Vidhya Murukesan, M.B.,B.S

Individual provider Active NPI Internal Medicine Physician · Omaha, NE

NPI 1003047564 · NPPES record last updated Aug 1, 2009

Key facts

NPI
1003047564
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
5995 TEP (NE)
Practice address
601 N 30TH St
Creighton University - Gme
Omaha, NE 68131-2137
Phone
(402) 280-5250
NPI assigned
Aug 1, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Hospitalist
Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clermont Internists Associates Inc (18 clinicians)
Usacs Integrated Acute Care Services of Ohio LLC (232 clinicians)

Practice addresses (Care Compare)

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1981
Phone (513) 732-0663

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5000

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital · Cincinnati, OH · CCN 360234
  • Mercy Health - Clermont Hospital Hospital · Batavia, OH · CCN 360236

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121005000511 OH Practitioner - Hospitalist
Practitioner - Internal Medicine
6507015542 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5995 TEPNEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Internists Associates, Inc. Internal Medicine Current
since Nov 2, 2013
Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine Current
since Apr 27, 2023
Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine Current
since Jan 1, 2022
Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine Current
since Oct 1, 2015
Accepting new patients
Sound Kenwood Hospitalists of Cincinnati, Inc Internal Medicine Past Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2055 Hospital Dr
Ste 300
Batavia, OH 45103
Phone (513) 732-0663

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5995 TEP NE Yes

Addresses

Primary practice location

601 N 30TH St
Creighton University - Gme
Omaha, NE 68131-2137

Mailing address

601 N 30TH St
Creighton University - Gme
Omaha, NE 68131-2137
Phone (402) 280-5250

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 1, 2009.

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249084800000",
    "number": "1003047564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CREIGHTON UNIVERSITY - GME",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CREIGHTON UNIVERSITY - GME",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURUKESAN",
        "first_name": "VIDHYA",
        "name_prefix": "Dr.",
        "credential": "M.B.,B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-01",
        "last_updated": "2009-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "5995 TEP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

All providers in Omaha, NE · Internal Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.