Individual provider Active NPI

Pradeep Kumar Murthaiah, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1609155811
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01073487A Issued in IN
Practice address
711 E 38TH St
Indianapolis, IN 46205-2748
Phone
(463) 249-2314
Fax
(317) 245-2388
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 01073487A IN Primary

Addresses

Primary practice location

711 E 38TH St
Indianapolis, IN 46205-2748

Mailing address

321 E Northfield Dr Ste 100
Brownsburg, IN 46112-2415
Phone (317) 852-6065

Other practice location 1

520 N 4th St
Springfield, IL 62702-5238
Phone (217) 757-8100

Other practice location 2

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

Other practice location 3

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

Other practice location 4

321 E Northfield Dr Ste 100
Brownsburg, IN 46112
Phone (317) 852-6065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmurthaiah294717@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20141014002459 IN Practitioner - Family Practice 7618102203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

711 E 38TH St
Indianapolis, IN 46205-2748
Phone (463) 249-2314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-in Physicians Group, PC Family Medicine CurrentSince Dec 17, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Major Hospital Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

4200 S East St
Indianapolis, IN 46227
Phone (317) 781-1061

711 E 38th St
Indianapolis, IN 46205
Phone (317) 927-9110

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

Interoperability endpoints

  • Direct secure messaging: pradeep.murthaiah@ihci.eclinicaldirectplus.com
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1609155811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E NORTHFIELD DR STE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122415",
            "telephone_number": "317-852-6065",
            "fax_number": "317-852-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052748",
            "telephone_number": "463-249-2314",
            "fax_number": "317-245-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025238",
            "country_code": "US",
            "telephone_number": "217-757-8100",
            "fax_number": "217-757-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "62702",
            "country_code": "US",
            "telephone_number": "217-757-8100",
            "fax_number": "217-757-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "62702",
            "country_code": "US",
            "telephone_number": "217-757-8100",
            "fax_number": "217-757-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Northfield Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "46112",
            "country_code": "US",
            "telephone_number": "317-852-6065",
            "fax_number": "317-852-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURTHAIAH",
        "first_name": "PRADEEP",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01073487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmurthaiah294717@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "321 E Northfield Dr Ste 100",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.