NPIMap

Individual provider Active NPI

Andrew Jacob Murray, D.O.

  • Interventional Cardiology Physician
  • Venice, FL
National Provider Identifier
1356788624
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS13577 Issued in FL
Practice address
901 Venetia Bay Blvd Ste 200
Venice, FL 34285-8046
Phone
(941) 497-5511
Fax
(941) 492-2221
NPI assigned
May 28, 2013
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04762 IA
Interventional Cardiology Physician 207RI0011X OS13577 FL Primary

Addresses

Primary practice location

901 Venetia Bay Blvd Ste 200
Venice, FL 34285-8046

Mailing address

901 Venetia Bay Blvd Ste 200
Venice, FL 34285-8046
Phone (941) 497-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200220002339 FL Practitioner - Cardiovascular Disease (Cardiology) 7618284506 Reassigns benefits to 1 organization
I20240325000887 OH Practitioner - Internal Medicine 7618284506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

3006 N County Rd
25A Suite 104
Troy, OH 45373-1373
Phone (937) 277-4274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04762IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cardiovascular Specialists LLC CurrentSince Oct 1, 2019 Accepting new patients
Premier Health Specialists Inc Internal Medicine Current Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 29, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 29, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2231 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 419-9301

320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3006 N Dixie Hwy
Ste 104
Troy, OH 45373
Phone (937) 277-4274

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDGBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1356788624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 200",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858046",
            "telephone_number": "941-497-5511",
            "fax_number": "941-492-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 200",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858046",
            "telephone_number": "941-497-5511",
            "fax_number": "941-492-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "ANDREW",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "04762",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.