Kelly Marie Murillo, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

120881 Issued in IA

Practice address

2710 Saint Francis Dr Ste 411
Waterloo, IA 50702-5634

Phone

(319) 272-5000

Fax

(319) 272-5825

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Iowa, RJ & L Carver College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Covenant Medical Center Inc

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160

  Audiologist

  Medicare reassignment Care Compare group NPD
• Covenant Medical Center, Inc.

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD

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

• Covenant Medical Center Inc

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1659059863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 411",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025634",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 411",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025634",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "119918",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "120881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Msga LLC
• Susan Mueller, PHARMD
• Marcia Lynn Mullikin, M.A.
• Carmen Mundt, ARNP
• Suzanne E Munns, MD
• Jamiee Rae Murphy, LMHC
• Meegan Marie Murray, BS, TCADC
• Jayalakshmi Murugaian, MD
• Shadi Suhail Mustafa, MD
• Lydia Mustafic, M.D.

• Audiologist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.