Individual provider Active NPI

Kudagal S Murthy, MD

  • Allergy & Immunology Physician
  • Tucson, AZ
National Provider Identifier
1255384103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
13339 Issued in AZ
Practice address
2902 E Grant Rd
Tucson, AZ 85716-2742
Phone
(520) 322-8361
Fax
(520) 322-8462
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 13339 AZ Primary

Addresses

Primary practice location

2902 E Grant Rd
Tucson, AZ 85716-2742

Mailing address

2902 E Grant Rd
Tucson, AZ 85716-2742
Phone (520) 322-8361

Other identifiers 1

IdentifierTypeStateIssuer
00733701MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110117000113 AZ Practitioner - Allergy/Immunology 9537154075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alvernon Allergy and Asthma, P.C. Allergy CurrentSince Sep 1, 1998 Accepting new patients
Allergy & Asthma Care of Arizona Allergy & Immunology CurrentSince Dec 31, 2001 Accepting new patients

Locations

9356 E Rita Rd
Ste 100
Tucson, AZ 85747
Phone (520) 322-8361

6261 N La Cholla Blvd
Ste 101
Tucson, AZ 85741
Phone (520) 322-8361

2902 E Grant Rd
Tucson, AZ 85716
Phone (520) 322-8361

2110 W 24th St
Ste C
Yuma, AZ 85364
Phone (480) 838-4296

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255384103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8361",
            "fax_number": "520-322-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8361",
            "fax_number": "520-322-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "KUDAGAL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "13339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.