Active NPI
Nagaprasad B Murthi, MD
- Psychiatry Physician
- Kihei, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-17639
- Practice address
- 122 Luakaha Cir
Kihei, HI 96753-8286 - Phone
- (808) 633-7662
- Fax
- (808) 442-1406
- NPI assigned
- Oct 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301038650 | MI | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 4301038650 | MI | |
| Psychiatry Physician | 2084P0800X | MD-17639 | HI | Primary |
Addresses
Primary practice location
122 Luakaha Cir
Kihei, HI 96753-8286
Mailing address
122 Luakaha Cir
Kihei, HI 96753-8286
Phone (808) 633-7662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2964098 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
122 Luakaha Cir
Kihei, HI 96753-8286
Phone (248) 396-7173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-17639 | HI | MD | Psychiatry Physician |
| 4301038650 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| N B Murthi MD PC | Psychiatry | Current | Accepting new patients |
Locations
161 Wailea Ike Pl
Ste C104
Wailea, HI 96753
Phone (248) 396-7173
19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804
22550 Hall Rd
Clinton Twp, MI 48036
Phone (586) 441-3884
5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446
25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912
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.
-
- Psychiatry Physician
- Kihei, HI
- NPI 1174060008
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1326132093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 LUAKAHA CIR",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538286",
"telephone_number": "808-633-7662",
"fax_number": "808-442-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 LUAKAHA CIR",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538286",
"telephone_number": "808-633-7662",
"fax_number": "808-442-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHI",
"first_name": "NAGAPRASAD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-03-09",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301038650",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "MI",
"license": "4301038650",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-17639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2964098",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.