Individual provider Active NPI

Nagaprasad B Murthi, MD

  • Psychiatry Physician
  • Kihei, HI
National Provider Identifier
1326132093
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-17639 Issued in HI
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

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2964098MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321002655 HI Practitioner - Psychiatry 6800088931 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD-17639HIMDPsychiatry Physician
4301038650MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Jan 1, 1986 Accepting new patients
County of Macomb CurrentSince Jan 1, 1986 Accepting new patients
N B Murthi MD PC Psychiatry CurrentSince Jan 30, 2017 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.

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

Verify at the official NPI Registry.