Active NPI
Murlidhar R. Deshmukh, MD
- Internal Medicine Physician
- Kenton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-051814
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0586236 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-051814 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Ohio, LLC | Current | Accepting new patients | |
| Access Ohio, LLC | Current | Accepting new patients | |
| Access Behavioral LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Murlidhar R Deshmukh MD | Internal Medicine | Past | 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.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1689763740
-
- Internal Medicine Physician
- Kenton, OH
- NPI 1801059167
-
dba Access Health Network
- Multi-Specialty Clinic/Center
- Kenton, OH
- NPI 1194333286
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.