Individual provider Active NPI

Carol Sumi Murakami, MD

  • Gastroenterology Physician
  • Redlands, CA
National Provider Identifier
1821085390
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
CP204540 Issued in OR
Practice address
104 E Olive Ave Ste 100
Redlands, CA 92373-5255
Phone
(424) 338-0225
Fax
(209) 759-2672
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J3166 TX
Gastroenterology Physician 207RG0100X MD00025512 WA
Gastroenterology Physician 207RG0100X CP204540 OR Primary

Addresses

Primary practice location

104 E Olive Ave Ste 100
Redlands, CA 92373-5255

Mailing address

10000 SE Main St Ste 112
Portland, OR 97216-2441
Phone (503) 255-3054

Other practice location 1

2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864-2478
Phone (618) 899-4000

Other practice location 2

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 645-0595

Other practice location 3

125 16th Ave E
Seattle, WA 98112-5211
Phone (206) 326-3000

Other identifiers 1

IdentifierTypeStateIssuer
100012670OtherWARR MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cmurakami386857@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080416000295 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 2961580972 Reassigns benefits to 3 organizations
I20260220000358 CA Practitioner - Internal Medicine 2961580972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP204540ORMDGastroenterology Physician
25209WAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 17, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 17, 2021 Accepting new patients
Multicare Health System CurrentSince Aug 10, 2020 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 13, 2026 Accepting new patients
Digestive Health Consultants, PLLC Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 31, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 13, 2026 Accepting new patients
Multicare Health System CurrentSince Aug 10, 2020 Accepting new patients

Locations

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: cmurakami386857@direct-ehr-ssmhc.com
  • Direct secure messaging: cmurakami492454@direct.multicare.org

Organizations & group practices 12

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1821085390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 112",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162441",
            "telephone_number": "503-255-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "424-338-0225",
            "fax_number": "209-759-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Good Samaritan Way Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642478",
            "country_code": "US",
            "telephone_number": "618-899-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-645-0595",
            "fax_number": "214-645-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 16th Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125211",
            "country_code": "US",
            "telephone_number": "206-326-3000",
            "fax_number": "206-326-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAKAMI",
        "first_name": "CAROL",
        "middle_name": "SUMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J3166",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00025512",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "CP204540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100012670",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmurakami386857@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cmurakami386857@direct-ehr-ssmhc.com",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-CDA",
            "address_1": "125 16th Ave E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981125211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.