Individual provider Active NPI

Jeremiah C Murphy, MD

  • Specialist
  • Tualatin, OR
National Provider Identifier
1295750222
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD25718 Issued in OR
Practice address
19260 SW 65TH Ave
Suite 310
Tualatin, OR 97062-5701
Phone
(503) 692-1200
Fax
(503) 692-1220
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD25718 OR Primary

Addresses

Primary practice location

19260 SW 65TH Ave
Suite 310
Tualatin, OR 97062-5701

Mailing address

19260 SW 65TH Ave
Suite 310
Tualatin, OR 97062-5701
Phone (503) 692-1200

Other identifiers 1

IdentifierTypeStateIssuer
023195MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170808000305 IA Practitioner - Urology 2668413659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

225 Welter Dr
Monticello, IA 52310-4722
Phone (319) 465-5937

3410 Kimball Ave
Waterloo, IA 50702-5735
Phone (319) 272-3835

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

788 8TH St SE
400 Mercy Cardiology Clinic
Cedar Rapids, IA 52401-2108
Phone (319) 832-2328

Hospital & facility affiliations

  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • Mercyone Oelwein Medical Center Hospital, Oelwein, IA, CCN 161338
  • Mercy Medical Center - Cedar Rapids Inpatient rehabilitation facility, Cedar Rapids, IA, CCN 16T079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

901 8th Ave SE
Cedar Rapids, IA 52401
Phone (319) 398-6900

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

788 8th Ave SE
Ste 400
Cedar Rapids, IA 52401
Phone (319) 398-6865

225 Welter Dr
Monticello, IA 52310
Phone (319) 398-6020

Interoperability endpoints

  • Direct secure messaging: jmurphy3925920@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1295750222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 310",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 310",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JEREMIAH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD25718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023195",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.