Marcelino Enrique Murillo-Deluquez, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2017041420 Issued in MO

Practice address

660 S Euclid Ave
Saint Louis, MO 63110-1010

Phone

(314) 747-2178

Fax

(314) 747-2179

NPI assigned

Jan 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Punxsutawney Medical Services IncGroup PAC ID 2961396346, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Punxsutawney Medical Services, Inc

  dba Punxsutawney Anesthesia Service

  • Anesthesiology Physician
  • Punxsutawney, PA
  • NPI 1255849683
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1770091316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W PINE BLVD APT 8E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081474",
            "telephone_number": "754-551-9412",
            "fax_number": "314-747-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-747-2178",
            "fax_number": "314-747-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO-DELUQUEZ",
        "first_name": "MARCELINO",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2017041420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia L Murdock
• Nathaniel Hawthorne Murdock, MD
• Nicole Murdock, LPC
• Laura D Murer, CRNA
• Guadalupe Murillo Wink, LCSW
• Peyton Murin
• Elena Angelica Muro-Fuentes, MD
• Sierra Muro, MA
• Katie Murphy Hemenway
• Murphy Home Health LLC

• Student in an Organized Health Care Education/Training Program in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.

Verify at the official NPI Registry.