Individual provider Active NPI

Vijayalakshmi Murali, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1699705541
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD 042611-L Issued in PA
Practice address
1337 Cottman Ave
Philadelphia, PA 19111
Phone
(215) 745-0900
Fax
(215) 745-6023
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD 042611-L PA Primary

Addresses

Primary practice location

1337 Cottman Ave
Philadelphia, PA 19111

Mailing address

1337 Cottman Avenue
Philadelphia, PA 19111-3728
Phone (215) 745-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150515000709 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5991025868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 042611-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Krishna Sampath MD and Associates Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699705541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113728",
            "telephone_number": "215-745-0900",
            "fax_number": "215-745-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-745-0900",
            "fax_number": "215-745-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALI",
        "first_name": "VIJAYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD 042611-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.