Individual provider Active NPI

Vidhya Murukesan, M.B.,B.S

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1003047564
Registry record updated Aug 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5995 TEP Issued in NE
Practice address
601 N 30TH St
Creighton University - Gme
Omaha, NE 68131-2137
Phone
(402) 280-5250
NPI assigned
Aug 1, 2009
Last updated
Aug 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clermont Internists Associates IncGroup PAC ID 6901885847, 18 clinicians
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5995 TEPNEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
Clermont Internists Associates, Inc. Internal Medicine CurrentSince Nov 2, 2013 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jan 1, 2022 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) 489-1055

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.