Individual provider Active NPI

Paula Jean McMurtry, MD

  • Rheumatology Physician
  • Columbia, MO
National Provider Identifier
1568467546
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2006037787 Issued in MO
Practice address
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone
(573) 815-6640
Fax
(573) 815-6644
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2006037787 MO Primary
Rheumatology Physician 207RR0500X MD047021L PA

Addresses

Primary practice location

900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469

Mailing address

900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone (573) 815-6640

Other identifiers 1

IdentifierTypeStateIssuer
206301806MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070308000005 MO Practitioner - Rheumatology 7214030485 Reassigns benefits to 1 organization
Practice locations: Columbia, MO

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006037787MOMDRheumatology Physician
MD047021LPAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Feb 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

900 W Nifong Blvd
Ste 101
Columbia, MO 65203
Phone (573) 499-9009

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

900 W Nifong Blvd
Ste 100
Columbia, MO 65203
Phone (573) 815-6631

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

Interoperability endpoints

  • Direct secure messaging: paulamcmurtry@mhccaremail.com

Organizations & group practices 2

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 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1568467546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W NIFONG BLVD STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034469",
            "telephone_number": "573-815-6640",
            "fax_number": "573-815-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W NIFONG BLVD STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034469",
            "telephone_number": "573-815-6640",
            "fax_number": "573-815-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURTRY",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2006037787",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD047021L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206301806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.