Individual provider Active NPI

Patrick B Murphy, M.D.

  • Interventional Cardiology Physician
  • Decatur, IL
National Provider Identifier
1497703367
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036076395 Issued in IL
Practice address
1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone
(217) 422-6100
Fax
(833) 784-5326
NPI assigned
May 4, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036076395 IL
Interventional Cardiology Physician 207RI0011X 036076395 IL Primary
Nuclear Cardiology Physician 207UN0901X 036076395 IL
Pediatrics Physician 208000000X 036076395 IL

Addresses

Primary practice location

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800

Mailing address

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone (217) 422-6100

Other practice location 1

1800 E Lake Shore Dr
Decatur, IL 62521-3883
Phone (217) 422-6100

Other identifiers 10

IdentifierTypeStateIssuer
009824OtherILHEALTH ALLIANCE PROVIDER
38443OtherPHCS
296074OtherHEALTHLINK
207188707MedicaidMO
03607639501OtherOSF HEALTH PLANS
IL0107OtherJOHN DEERE HEALTH PLAN
1586875OtherUNITED HEALTHCARE
036076395MedicaidIL
287612OtherPERSONAL CARE
05732036OtherILBLUE SHIELD GROUP NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmurphy107111@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040628000292 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5395721674 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
City of ClintonGroup PAC ID 0042203127, 19 clinicians

Practice addresses (Care Compare)

101 E 9TH St
Pana Community Hosp
Pana, IL 62557-1785
Phone (217) 562-2131

1510 W Springfield Rd
Suite a
Taylorville, IL 62568-2764
Phone (217) 788-0706

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

1800 E Lake Shore Dr 6TH FLR
Decatur, IL 62521-3810
Phone (217) 422-6100

200 S Cedar St
Shelby Memorial
Shelbyville, IL 62565-1838
Phone (217) 774-3961

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

619 E Mason St
Springfield, IL 62701-1034
Phone (217) 788-0706

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036076395ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists LTD Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 10, 2019 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 10, 2019 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order CurrentSince Dec 19, 2018 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Aug 15, 2018 Accepting new patients
Illinois Cardiac Surgery Associates SC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Bromenn Healthcare, Inc. Past Accepting new patients
Illinois Cardiovascular & Thoracic Surgery, LTD Cardiovascular Disease Past Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

1770 E Lake Shore Dr
Ste 105
Decatur, IL 62521
Phone (217) 329-1000

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: pmurphy107111@ewd.direct.hshs.org

Organizations & group practices 10

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1497703367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR STE 105",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213800",
            "telephone_number": "217-422-6100",
            "fax_number": "833-784-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR STE 105",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213800",
            "telephone_number": "217-422-6100",
            "fax_number": "833-784-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213883",
            "country_code": "US",
            "telephone_number": "217-422-6100",
            "fax_number": "217-422-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "PATRICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036076395",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036076395",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "036076395",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036076395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PROVIDER",
            "identifier": "009824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "38443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "296074",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207188707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSF HEALTH PLANS",
            "identifier": "03607639501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "IL0107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1586875",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076395",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "287612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "05732036",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmurphy107111@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1770 E Lake Shore Dr Ste 105",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.