Individual provider Active NPI

Nevin Murthy, MD

  • Nephrology Physician
  • Gurnee, IL
National Provider Identifier
1093100240
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.146737 Issued in IL
Practice address
7900 Rollins Rd Ste B1300
Gurnee, IL 60031-1512
Phone
(847) 570-2512
Fax
(847) 570-1696
NPI assigned
Apr 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.146737 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7900 Rollins Rd Ste B1300
Gurnee, IL 60031-1512

Mailing address

7900 Rollins Rd Ste B1300
Gurnee, IL 60031-1512
Phone (847) 570-2512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20201016001198 IL Practitioner - Nephrology 1355642752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical Group 3,330 clinicians

Practice addresses (Care Compare)

7900 Rollins Rd
Suite B1300
Gurnee, IL 60031-1512
Phone (847) 599-3610

Hospital & facility affiliations

  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • DaVita Glen Dialysis Dialysis facility, Glenview, IL, CCN 142746
  • DaVita Edens Home Dialysis Dialysis facility, Skokie, IL, CCN 142687
  • FMC - Highland Dialysis facility, Highland Park, IL, CCN 142782
  • DaVita Evanston Renal Center Dialysis facility, Evanston, IL, CCN 142511
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.146737ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Aug 14, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 16, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 16, 2021 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 14, 2020 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

7900 Rollins Rd
Gurnee, IL 60031
Phone (847) 356-3680

7900 Rollins Rd
Ste B1300
Gurnee, IL 60031
Phone (224) 251-2020

757 Park Ave W
Ste 2850
Highland Park, IL 60035
Phone (847) 570-2512

Interoperability endpoints

  • Direct secure messaging: nmurthymd165332@uchospital.direct-ci.com

Organizations & group practices 4

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 5

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": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1093100240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 ROLLINS RD STE B1300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311512",
            "telephone_number": "847-570-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ROLLINS RD STE B1300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311512",
            "telephone_number": "847-570-2512",
            "fax_number": "847-570-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "NEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-04",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.146737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.