Individual provider Active NPI

Krishna Murthy, M.D.

  • Internal Medicine Physician
  • Princeton, IN
National Provider Identifier
1841293115
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01031888A Issued in IN
Practice address
685 Vail St
Princeton, IN 47670-9510
Phone
(812) 386-6560
Fax
(812) 386-6698
NPI assigned
May 31, 2005
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01031888A IN Primary
Pulmonary Disease Physician 207RP1001X 01031888A IN

Addresses

Primary practice location

685 Vail St
Princeton, IN 47670-9510

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 386-6560

Other identifiers 2

IdentifierTypeStateIssuer
100122290MedicaidIN
000000042157OtherINBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041004000214 IN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8628973286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Gibson General Hospital IncGroup PAC ID 5991788069, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9420

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

685 Vail St
Princeton, IN 47670-9510
Phone (812) 386-6560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01031888AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Deaconess Clinic Inc CurrentSince Oct 1, 2008 Accepting new patients
Gibson General Hospital Inc. CurrentSince Jan 1, 2002 Accepting new patients
Gibson General Hospital, Inc CurrentSince Jan 1, 2002 Accepting new patients
Deaconess Clinic Inc. Internal Medicine Current Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

685 Vail St
Princeton, IN 47670
Phone (812) 386-6560

Interoperability endpoints

  • Direct secure messaging: kmurthy2291@direct.deaconess.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1841293115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-386-6560",
            "fax_number": "812-385-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 VAIL ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709510",
            "telephone_number": "812-386-6560",
            "fax_number": "812-386-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "KRISHNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01031888A",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01031888A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000042157",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.