NPIMap

Individual provider Active NPI

Mark Alden Murfin Jr., MD

  • Surgery Physician
  • Centralia, IL
National Provider Identifier
1124029509
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036077017 Issued in IL
Practice address
1063 Martin Luther King Dr
Centralia, IL 62801-3001
Phone
(618) 532-4004
Fax
(618) 532-2856
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036077017 IL Primary

Addresses

Primary practice location

1063 Martin Luther King Dr
Centralia, IL 62801-3001

Mailing address

1063 Martin Luther King Dr
Centralia, IL 62801-3001
Phone (618) 532-4004

Other identifiers 1

IdentifierTypeStateIssuer
036077017MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000117 IL Practitioner - General SurgeryPractitioner - Vascular Surgery 9830119007 Reassigns benefits to 3 organizations
Practice locations: Centralia, IL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1063 M L King Dr
Centralia, IL 62801-3001
Phone (618) 532-4004

Hospital & facility affiliations

  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Hernia repair - groin (open)14
Upper gastrointestinal (GI) endoscopy for acid reflux65
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Township Hospital CurrentSince Jan 11, 2023 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Mar 29, 2021 Accepting new patients
Fairfield Memorial Hospital Association Current Accepting new patients
Salem Township Hospital CurrentSince Jan 11, 2023 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Mar 29, 2021 Accepting new patients
Ambulatory Surgery Center of Centralia PastSince Apr 17, 2023 Accepting new patients
Salem Township Hospital Past Accepting new patients
Salem Township Hospital Past Accepting new patients

Locations

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

Interoperability endpoints

  • Direct secure messaging: mmurfin@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4

Organizations & group practices 8

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 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1124029509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-532-4004",
            "fax_number": "618-532-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-532-4004",
            "fax_number": "618-532-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURFIN",
        "first_name": "MARK",
        "middle_name": "ALDEN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036077017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077017",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.