Individual provider Active NPI

Murthy V Gollamudi, MD

  • Pulmonary Disease Physician
  • Dayton, OH
National Provider Identifier
1114985439
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35081088 Issued in OH
Practice address
1520 S Main St
Suite 2
Dayton, OH 45409-2698
Phone
(937) 461-5815
Fax
(937) 461-2896
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 35081088 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35081088 OH
Pulmonary Disease Physician 207RP1001X 35081088 OH Primary

Addresses

Primary practice location

1520 S Main St
Suite 2
Dayton, OH 45409-2698

Mailing address

1520 S Main St
Suite 2
Dayton, OH 45409-2698
Phone (937) 461-5815

Other identifiers 1

IdentifierTypeStateIssuer
2327593MedicaidOH

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
I20081123000003 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113087032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Consultants, IncGroup PAC ID 9234115379, 34 clinicians

Practice addresses (Care Compare)

1520 S Main St
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as individual
Quality
63.33
Promoting interoperability
98
Improvement activities
40
Cost
78.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Consultants, Inc Critical Care Medicine CurrentSince Jan 9, 2012 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Pulmonary Critical Care Inc Pulmonary Disease Past Accepting new patients

Locations

2300 Miami Valley Dr
Ste 370
Dayton, OH 45459
Phone (937) 461-5815

1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

3130 N County Road 25A
Ste 203
Troy, OH 45373
Phone (937) 552-7038

Interoperability endpoints

  • Direct secure messaging: murthy.gollamudi@pulmcare.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1114985439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLAMUDI",
        "first_name": "MURTHY",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35081088",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35081088",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35081088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327593",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.