Individual provider Active NPI

Indubala M Murty, MD

  • Internal Medicine Physician
  • Steubenville, OH
National Provider Identifier
1033115696
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.057424 Issued in OH
Practice address
401 Market St Ste 200
Steubenville, OH 43952-2846
Phone
(740) 282-5000
NPI assigned
Jun 28, 2005
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD041331E PA
Internal Medicine Physician 207R00000X 15463 WV
Internal Medicine Physician 207R00000X 35.057424 OH Primary

Addresses

Primary practice location

401 Market St Ste 200
Steubenville, OH 43952-2846

Mailing address

401 Market St Ste 200
Steubenville, OH 43952-2846

Other identifiers 3

IdentifierTypeStateIssuer
0726781MedicaidOH
3810007536MedicaidWV
110214543OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041331EPAMDInternal Medicine Physician
15463WVMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1033115696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARKET ST STE 200",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARKET ST STE 200",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522846",
            "telephone_number": "740-282-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTY",
        "first_name": "INDUBALA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041331E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "15463",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.057424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0726781",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007536",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110214543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.