Active NPI
Boris Murillo, MD
- Pulmonary Disease Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- N8047
- Practice address
- 340 Richland West Cir
Suite a
Waco, TX 76712-7919 - Phone
- (254) 537-6600
- Fax
- (254) 537-6601
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 79867 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 79867 | MA | |
| Pulmonary Disease Physician | 207RP1001X | N8047 | TX | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N8047 | TX |
Addresses
Primary practice location
340 Richland West Cir
Suite a
Waco, TX 76712-7919
Mailing address
PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3130851 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200
340 Richland W Cir
Ascension Medical Group Providence
Waco, TX 76712-7919
Phone (254) 537-6050
342 Richland W Cir
Waco, TX 76712-7919
Phone (254) 537-6600
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
Hospital & facility affiliations
- Ascension Providence
- Goodall Witcher Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79867 | MA | MD | Critical Care Medicine (Internal Medicine) Physician |
| N8047 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients | |
| Fairview Hospital | Past | Accepting new patients | |
| Berkshire Faculty Services Inc | Past | Accepting new patients |
Locations
340 Richland West Cir
Ste A
Waco, TX 76712
Phone (254) 537-6600
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
Interoperability endpoints
- boris.murillo.1@9635.direct.athenahealth.com
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.
-
- Specialist
- Waco, TX
- NPI 1932210838
-
- Rural Health Clinic/Center
- Waco, TX
- NPI 1336590462
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- Critical Access Hospital
- Clifton, TX
- NPI 1104383371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1730133737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18962",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154084",
"telephone_number": "800-566-5050",
"fax_number": "254-537-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 RICHLAND WEST CIR",
"address_2": "SUITE A",
"city": "WACO",
"state": "TX",
"postal_code": "767127919",
"telephone_number": "254-537-6600",
"fax_number": "254-537-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "BORIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "79867",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "79867",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "N8047",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N8047",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3130851",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.
- 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.