Individual provider Active NPI

Todd C Murry, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1770545519
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
9792 Issued in NV
Practice address
7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Phone
(877) 562-5227
Fax
(702) 938-9954
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 9792 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 9792 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340

Mailing address

7455 W Washington Ave Ste 100
Las Vegas, NV 89128-4338
Phone (702) 732-3441

Other practice location 1

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109-2294
Phone (702) 732-3441

Other practice location 2

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109-2294
Phone (702) 732-3441

Other identifiers 1

IdentifierTypeStateIssuer
1770545519MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230725001805 GA Practitioner - Pathology 2961585393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Piedmont Pathology PCGroup PAC ID 7214918556, 11 clinicians
Peachtree Laboratory Associates PCGroup PAC ID 9537134788, 11 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2054

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Piedmont Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 11, 2023 Accepting new patients
Peachtree Laboratory Associates PC CurrentSince Jul 11, 2023 Accepting new patients
Douglas a. Thomas, MD PastSince Oct 1, 2022 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1968 Peachtree Rd NW
Bldg 77
Atlanta, GA 30309
Phone (404) 605-4602

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770545519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284338",
            "telephone_number": "702-732-3441",
            "fax_number": "702-938-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284340",
            "telephone_number": "877-562-5227",
            "fax_number": "702-938-9954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3059 S Maryland Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092294",
            "country_code": "US",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3059 S Maryland Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092294",
            "country_code": "US",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRY",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NV",
            "license": "9792",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "9792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770545519",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.