Individual provider Active NPI

Shedthikere Krishna Murthy, MD

  • Neurology Physician
  • Truth Or Consequences, NM
National Provider Identifier
1720192255
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD2022-0337 Issued in NM
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

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001046 NM Practitioner - Neurology 4082749080 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50196GAMDNeurology Physician
MD2022-0337NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Jun 3, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jun 3, 2022 Accepting new patients
Comprehensive Neurological Services PC Neurology PastSince Jan 2, 2002 Accepting new patients

Locations

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

Interoperability endpoints

  • Direct secure messaging: s.murthy.p1@direct.compneuro.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.