NPIMap

Individual provider Active NPI

Kermit A. Murray, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1700896719
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41338 Issued in AZ
Practice address
8826 E Tanque Verde Rd
Tucson, AZ 85749-9607
Phone
(520) 760-8972
Fax
(520) 760-3417
NPI assigned
Aug 9, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 41338 AZ Primary

Addresses

Primary practice location

8826 E Tanque Verde Rd
Tucson, AZ 85749-9607

Mailing address

2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 760-8972

Other identifiers 1

IdentifierTypeStateIssuer
402095MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090211000695 AZ Practitioner - Family Practice 9537068366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

8826 E Tanque Verde Rd
Tucson, AZ 85749-9607
Phone (520) 760-8972

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Dec 20, 2015 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Westchester LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of West Kendall LLC PastSince Mar 26, 2023 Accepting new patients

Locations

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460

8826 E Tanque Verde Rd
Tucson, AZ 85749
Phone (520) 760-8972

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

5605 E River Rd
Ste 219
Tucson, AZ 85750
Phone (520) 314-4275

2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: kermit.murray.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 4

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 6

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1700896719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-760-8972",
            "fax_number": "520-760-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499607",
            "telephone_number": "520-760-8972",
            "fax_number": "520-760-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KERMIT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402095",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.