Active NPI
Philip D Murray, M.D.
- Vascular & Interventional Radiology Physician
- Minneapolis, MN
National Provider Identifier
1194763961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 23125
- Practice address
- 1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420 - Phone
- (612) 573-2232
- Fax
- (612) 573-2274
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 23125 | MN | Primary |
Addresses
Primary practice location
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Mailing address
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone (612) 573-2232
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12094MU | Other | MN | BLUE CROSS |
| 22861 | Other | MN | AMERICA'S PPO |
| 30626900 | Medicaid | WI | |
| 0570465 | Medicaid | IA | |
| 300011262 | Other | WI | RAILROAD MEDICARE WI |
| 349067000 | Medicaid | MN | |
| HP14025 | Other | MN | HEALTHPARTNERS |
| 0247010 | Other | MN | PREFERRED ONE |
| 100702 | Other | MN | UCARE |
| 300082209 | Other | MN | RAILROAD MEDICARE MN |
| 029R1MU | Other | MN | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23125 | MN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Radiologists, LTD | Vascular & Interventional Radiology | Past | Accepting new patients |
| Consulting Radiologists, LTD | Vascular & Interventional Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1487730594
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1659339216
Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1194763961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 NICOLLET AVE",
"address_2": "SUITE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032420",
"telephone_number": "612-573-2232",
"fax_number": "612-573-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 NICOLLET AVE",
"address_2": "SUITE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032420",
"telephone_number": "612-573-2232",
"fax_number": "612-573-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "PHILIP",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "23125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12094MU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "22861",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30626900",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0570465",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE WI",
"identifier": "300011262",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349067000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP14025",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "0247010",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100702",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MN",
"identifier": "300082209",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "029R1MU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.