NPIMap

Individual provider Active NPI

Sergio Murillo Herrera, MD

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1598923757
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46282 Issued in CO
Practice address
3676 Parker Blvd
Suite 260
Pueblo, CO 81008-2212
Phone
(719) 553-2201
Fax
(719) 553-2224
NPI assigned
May 23, 2008
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46282 CO Primary

Addresses

Primary practice location

3676 Parker Blvd
Suite 260
Pueblo, CO 81008-2212

Mailing address

PO Box 9000
Pueblo, CO 81008-9000
Phone (719) 553-2200

Other identifiers 1

IdentifierTypeStateIssuer
89951557MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000371 CO Practitioner - Family Practice 3870653348 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Medicine Specialists PCGroup PAC ID 5092606863, 2 clinicians
Southern Colorado Clinic PCGroup PAC ID 4284524067, 36 clinicians

Practice addresses (Care Compare)

1225 N Grand Ave
Suite 100
Pueblo, CO 81003-2865

2403 Santa Fe Dr
Suite 7
Pueblo, CO 81006-1497
Phone (719) 553-2201

314 W 16TH St
Pueblo, CO 81003-2728
Phone (719) 553-2201

3676 Parker Blvd
Suite 290
Pueblo, CO 81008-2214
Phone (719) 553-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46282COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Clinic PC CurrentSince Aug 8, 2014 Accepting new patients
Adult Medicine Specialists PC CurrentSince Mar 1, 2022 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine CurrentSince Sep 12, 2011 Accepting new patients
Salida Hospital District Current Accepting new patients
Pueblo Community Health Center Inc Current Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine CurrentSince Sep 12, 2011 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients

Locations

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600

2403 Santa Fe Dr
Ste 7
Pueblo, CO 81006
Phone (719) 404-1489

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000

3676 Parker Blvd
Ste 260
Pueblo, CO 81008
Phone (719) 553-2201

3676 Parker Blvd
Ste 290
Pueblo, CO 81008
Phone (719) 553-2200

3676 Parker Blvd
Ste 370
Pueblo, CO 81008
Phone (719) 553-2209

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Interoperability endpoints

  • Direct secure messaging: sergio.murilloherrera.1@21306.direct.athenahealth.com

Organizations & group practices 9

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1598923757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089000",
            "telephone_number": "719-553-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 260",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-553-2201",
            "fax_number": "719-553-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO HERRERA",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89951557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.