Organization Active NPI

Chinya Murali MD LLC

  • Psychiatry Physician
  • Saint Peters, MO
National Provider Identifier
1184710055
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
118361 Issued in MO
Legal business name
CHINYA MURALI MD LLC
Practice address
5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone
(636) 477-6464
Fax
(636) 410-9291
NPI assigned
Oct 5, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Chinya Murali, MDNPI 1831156868
Title
Owner
Phone
(636) 477-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 118361 MO Primary

Addresses

Primary practice location

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667

Mailing address

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone (636) 477-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000003 MO Part B Supplier - Clinic/Group Practice 2466473681 Receives reassigned benefits from 1 practitioner
Practice locations: Lake St Louis, MO; Wentzville, MO; St Charles, MO; Saint Peters, MO; Ofallon, MO

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

330 1st Capitol Dr
Ste 410
Saint Charles, MO 63301
Phone (636) 916-1144

121 Klondike Xing
Saint Peters, MO 63376
Phone (636) 284-2597

3821 McClay Rd
Saint Peters, MO 63376
Phone (636) 922-9595

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1184710055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINYA MURALI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MURALI",
        "authorized_official_first_name": "CHINYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-477-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "118361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.