Individual provider Active NPI

Murali Talluri, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1275507378
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19237 Issued in AZ
Practice address
10631 S 51St St Ste 8
Phoenix, AZ 85044-5225
Phone
(480) 298-9951
Fax
(866) 246-5494
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19237 AZ Primary

Addresses

Primary practice location

10631 S 51St St Ste 8
Phoenix, AZ 85044-5225

Mailing address

10631 S 51St St Ste 8
Phoenix, AZ 85044-5225
Phone (480) 298-9951

Other identifiers 1

IdentifierTypeStateIssuer
295239MedicaidAZ

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
I20041115000885 AZ Practitioner - Family Practice 5597756460 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19237AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cholla Medical Group, Inc Family Medicine CurrentSince Dec 15, 2006 Accepting new patients
Piller Child Development LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

6909 W Ray Rd
Ste 15
Chandler, AZ 85226
Phone (234) 716-6408

10631 S 51st St
Ste 8
Phoenix, AZ 85044
Phone (480) 298-9951

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1275507378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-298-9951",
            "fax_number": "866-246-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-298-9951",
            "fax_number": "866-246-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLURI",
        "first_name": "MURALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.