Individual provider Active NPI

Shobana Murali, M.D.

  • Ophthalmology Physician
  • Minneapolis, MN
National Provider Identifier
1447254123
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40582 Issued in MN
Practice address
4001 Stinson Blvd
Suite 100
Minneapolis, MN 55421-3488
Phone
(612) 788-1621
Fax
(612) 788-8079
NPI assigned
Jun 9, 2005
Last updated
Sep 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 40582 MN Primary

Addresses

Primary practice location

4001 Stinson Blvd
Suite 100
Minneapolis, MN 55421-3488

Mailing address

825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708
Phone (612) 338-4861

Other identifiers 8

IdentifierTypeStateIssuer
63D75MUOtherMNBLUE SHIELD
0812378OtherMNMEDICA CHOICE
01020475OtherMNPREFERRED ONE
G92861OtherMNPATIENT CHOICE
200002101436OtherMNMETROPOLITAN HEALTH PLAN
0800038OtherMNMEDICA PRIMARY
0812378OtherMNSELECTCARE
HP27732OtherMNHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100927000424 MN Practitioner - Ophthalmology 3274670088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates PAGroup PAC ID 8729000435, 5 clinicians

Practice addresses (Care Compare)

4001 Stinson Blvd
Suite 100
Minneapolis, MN 55421-3425
Phone (612) 788-1621

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
98.93
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40582MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates, PA Ophthalmology CurrentSince Oct 1, 2001 Accepting new patients
Eye Care Associates PA Ophthalmology Current Accepting new patients
Eye Care Associates PA Ophthalmology CurrentSince Oct 1, 2001 Accepting new patients

Locations

4001 Stinson Blvd NE
Ste 100
Minneapolis, MN 55421
Phone (612) 338-4861

825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402
Phone (612) 338-4861

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1447254123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE 2000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022708",
            "telephone_number": "612-338-4861",
            "fax_number": "612-333-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213488",
            "telephone_number": "612-788-1621",
            "fax_number": "612-788-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALI",
        "first_name": "SHOBANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "40582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "63D75MU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "0812378",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01020475",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATIENT CHOICE",
            "identifier": "G92861",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH PLAN",
            "identifier": "200002101436",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "0800038",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "0812378",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP27732",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.