Active NPI
Shedthikere Krishna Murthy, MD
- Neurology Physician
- Truth Or Consequences, NM
National Provider Identifier
1720192255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD2022-0337
- Practice address
- 800 E 9TH Ave
Truth Or Consequences, NM 87901-1954 - Phone
- (575) 894-2111
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD2022-0337 | NM | Primary |
| Neurology Physician | 2084N0400X | 04-44421 | KS | |
| Neurology Physician | 2084N0400X | 22902 | SC | |
| Neurology Physician | 2084N0400X | 50196 | GA |
Addresses
Primary practice location
800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Mailing address
8010 State Line Rd Ste 100
Prairie Village, KS 66208-3711
Phone (816) 830-4285
Other names 1
- Dr. Shedthikere Krishnamurthy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50196 | GA | MD | Neurology Physician |
| MD2022-0337 | NM | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Comprehensive Neurological Services PC | Neurology | Past | Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
Interoperability endpoints
- s.murthy.p1@direct.compneuro.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Family Medicine
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
- Neurology with Special Qualifications in Child Neurology Physician
- Florence, SC
- NPI 1568414555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1720192255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 STATE LINE RD STE 100",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083711",
"telephone_number": "816-830-4285",
"fax_number": "913-400-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 9TH AVE",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879011954",
"telephone_number": "575-894-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHY",
"first_name": "SHEDTHIKERE",
"middle_name": "KRISHNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD2022-0337",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-44421",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "22902",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "50196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEDTHIKERE",
"last_name": "KRISHNAMURTHY",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.