Individual provider Active NPI

Rudy Murillo, M.D.

  • Surgery Physician
  • Jamaica Plain, MA
National Provider Identifier
1427369305
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
244320 Issued in MA
Practice address
25 Dunster Rd # 1
Jamaica Plain, MA 02130-2703
Phone
(858) 869-3377
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 244320 MA Primary

Addresses

Primary practice location

25 Dunster Rd # 1
Jamaica Plain, MA 02130-2703

Mailing address

25 Dunster Rd # 1
Jamaica Plain, MA 02130-2703
Phone (858) 869-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200826002382 DC Practitioner - General Surgery 2062760119 Reassigns benefits to 1 organization
I20230523003106 CA Practitioner - General Surgery 2062760119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute of Trauma and Acute Care IncGroup PAC ID 6204101850, 8 clinicians

Practice addresses (Care Compare)

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 469-9477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244320MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
Bright Health Physicians of Pih CurrentSince Mar 1, 2023 Accepting new patients
The Institute of Trauma and Acute Care Inc Surgery CurrentSince Nov 1, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Aug 1, 2020 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2023 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

11480 Brookshire Ave
Ste 201
Downey, CA 90241
Phone (562) 869-4567

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

160 E Artesia St
Ste 310
Pomona, CA 91767
Phone (909) 469-9477

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

12462 Putnam St
Ste 203
Whittier, CA 90602
Phone (562) 789-5430

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 1

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1427369305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DUNSTER RD # 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302703",
            "telephone_number": "858-869-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DUNSTER RD # 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302703",
            "telephone_number": "858-869-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "RUDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "244320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.