Individual provider Active NPI

Peter John Muran, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1154479525
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A4078 Issued in CA
Practice address
1601 Dove St Ste 170
Newport Beach, CA 92660-1421
Phone
(888) 315-4777
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X A4078 CA
Addiction Medicine (Internal Medicine) Physician 207RA0401X A4078 CA
Internal Medicine Physician 207R00000X A4078 CA Primary

Addresses

Primary practice location

1601 Dove St Ste 170
Newport Beach, CA 92660-1421

Mailing address

1024 Bayside Dr
Ste #212
Newport Beach, CA 92660-7462
Phone (888) 315-4777

Other practice location 1

180 Newport Center Dr
Ste #160
Newport Beach, CA 92660-6972
Phone (888) 315-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 10, 2025 through May 10, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A4078CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Healthcare, Inc., a Medical Corporation Internal Medicine PastSince Jan 1, 1990 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1154479525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BAYSIDE DR",
            "address_2": "STE #212",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607462",
            "telephone_number": "888-315-4777",
            "fax_number": "805-548-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601421",
            "telephone_number": "888-315-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Newport Center Dr",
            "address_2": "Ste #160",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926606972",
            "country_code": "US",
            "telephone_number": "888-315-4777",
            "fax_number": "805-548-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAN",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A4078",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A4078",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.