Individual provider Active NPI

Heidi C Murley, MD

  • Surgery Physician
  • Fort Thomas, KY
National Provider Identifier
1215993795
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31901 Issued in KY
Practice address
85 N Grand Ave
2ND Floor
Fort Thomas, KY 41075
Phone
(859) 781-2628
Fax
(859) 572-4403
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35069721M OH
Surgery Physician 208600000X 31901 KY Primary

Addresses

Primary practice location

85 N Grand Ave
2ND Floor
Fort Thomas, KY 41075

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 578-5880

Other identifiers 2

IdentifierTypeStateIssuer
64319015MedicaidKY
2549264MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000386 KY Practitioner - General Surgery 0648226944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31901KYMDSurgery Physician
35069721MOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Surgery CurrentSince Jan 1, 2009 Accepting new patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2009 Accepting new patients
University of Cincinnati Physicians Company, LLC Surgery Past Accepting new patients

Locations

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

20 Medical Village Dr
Ste 132
Edgewood, KY 41017
Phone (606) 572-4400

7370 Turfway Rd
Ste 390
Florence, KY 41042
Phone (859) 212-5125

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

40 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 441-4805

85 N Grand Ave
Fl 2
Fort Thomas, KY 41075
Phone (859) 781-2628

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: hmurley2987@direct-prd.stelizabeth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Elizabeth PhysiciansRising Sun, IN, CCN 153958 Rural health clinic Corporate Officer Jan 1, 2012
St. Elizabeth PhysiciansMilan, IN, CCN 153956 Rural health clinic Corporate Officer Jan 1, 2022
St. Elizabeth PhysiciansVevay, IN, CCN 153959 Rural health clinic Corporate Officer
W-2 Managing Employee
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1215993795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-578-5880",
            "fax_number": "859-578-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N GRAND AVE",
            "address_2": "2ND FLOOR",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "41075",
            "telephone_number": "859-781-2628",
            "fax_number": "859-572-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURLEY",
        "first_name": "HEIDI",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35069721M",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "31901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64319015",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.