Active NPI
Jaime Edwardo Murillo, MD
- Cardiovascular Disease Physician
- Norfolk, VA
National Provider Identifier
1144296641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101230983
- Practice address
- 844 Kempsville Rd
Suite 204
Norfolk, VA 23502-3927 - Phone
- (757) 261-0700
- Fax
- (757) 962-1254
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101230983 | VA | Primary |
Addresses
Primary practice location
844 Kempsville Rd
Suite 204
Norfolk, VA 23502-3927
Mailing address
205 Business Park Dr
Suite 200
Virginia Beach, VA 23462-6535
Phone (757) 962-1083
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389716 | Other | VA | MAMSI |
| 440509 | Other | VA | ATHEM BC/BS VA/HK |
| -001 | Other | VA | CHAMPUS/TRICARE |
| PAR | Other | VIRGINIA HEALTH NETWORK | |
| PAR | Other | USA MANAGED CARE | |
| PAR | Other | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | |
| 005856124 | Medicaid | VA | |
| 89064EY | Medicaid | NC | |
| PAR | Other | MULTIPLAN | |
| 15792 | Other | VA | SENTARA OHP/SHP |
| 689716 | Other | VA | UHC/MAMSI/MDIPA |
| PAR | Other | CIGNA | |
| PAR | Other | AETNA | |
| 005801559 | Medicaid | VA | |
| 064MJ | Other | NC | BC/BS NC |
| 218181 | Other | VA | ANTHEM BC/BS AND HKP |
| 38293 | Other | VA | OPTIMA HEALTH PLAN |
| 89064MJ | Medicaid | NC | |
| PAR | Other | VIRGINIA PREMIER HEALTH | |
| PAR | Other | CORVEL/CORCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1821024597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1144296641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BUSINESS PARK DR",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626535",
"telephone_number": "757-962-1083",
"fax_number": "757-962-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 KEMPSVILLE RD",
"address_2": "SUITE 204",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023927",
"telephone_number": "757-261-0700",
"fax_number": "757-962-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "JAIME",
"middle_name": "EDWARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101230983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "389716",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHEM BC/BS VA/HK",
"identifier": "440509",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "-001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
"identifier": "PAR",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005856124",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89064EY",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OHP/SHP",
"identifier": "15792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI/MDIPA",
"identifier": "689716",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005801559",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NC",
"identifier": "064MJ",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS AND HKP",
"identifier": "218181",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "38293",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89064MJ",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.