Individual provider Active NPI

Murlidhar R. Deshmukh, MD

  • Internal Medicine Physician
  • Kenton, OH
National Provider Identifier
1073697454
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-051814 Issued in OH
Practice address
15047 State Route 309
Kenton, OH 43326-9701
Phone
(419) 673-0595
Fax
(419) 674-4194
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 35-051814 OH Primary

Addresses

Primary practice location

15047 State Route 309
Kenton, OH 43326-9701

Mailing address

15047 State Route 309
Kenton, OH 43326-9701
Phone (419) 673-0595

Other identifiers 1

IdentifierTypeStateIssuer
0586236MedicaidOH

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
I20080910000678 OH Practitioner - Internal Medicine 6507774338 Reassigns benefits to 1 organization
Practice locations: Kenton, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-051814OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince Jul 1, 2020 Accepting new patients
Access Ohio, LLC CurrentSince Jul 1, 2020 Accepting new patients
Access Behavioral LLC PastSince Jul 27, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Murlidhar R Deshmukh MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1073697454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 STATE ROUTE 309",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269701",
            "telephone_number": "419-673-0595",
            "fax_number": "419-674-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 STATE ROUTE 309",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269701",
            "telephone_number": "419-673-0595",
            "fax_number": "419-674-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "MURLIDHAR",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-051814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.