Individual provider Active NPI

Murali Maheswaran, DO

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Twin Falls, ID
National Provider Identifier
1912984139
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
O-2000 Issued in ID
Practice address
450 Falls Ave Ste 202
Twin Falls, ID 83301-2307
Phone
(208) 814-9077
Fax
(208) 814-9081
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X O-2000 ID Primary

Addresses

Primary practice location

450 Falls Ave Ste 202
Twin Falls, ID 83301-2307

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752

Other identifiers 1

IdentifierTypeStateIssuer
263563OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20071029000133 WA Practitioner - NeurologyPractitioner - Other (Physician) 8527000884 Reassigns benefits to 1 organization
I20240531000290 ID Practitioner - Sleep Medicine 8527000884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
West Virginia School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

450 Falls Ave
Suite 202
Twin Falls, ID 83301-2307
Phone (208) 814-9075

746 N College Rd
Twin Falls, ID 83301-3486

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 10, 2019 Accepting new patients
St Luke's Clinic LLC CurrentSince May 17, 2024 Accepting new patients
Multicare Health System Past Accepting new patients
Romaker and Associates, PC Neurology Past Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD PastSince May 1, 2024 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

450 Falls Ave
Ste 202
Twin Falls, ID 83301
Phone (208) 814-9075

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 6

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 1

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1912984139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FALLS AVE STE 202",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012307",
            "telephone_number": "208-814-9077",
            "fax_number": "208-814-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESWARAN",
        "first_name": "MURALI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "ID",
            "license": "O-2000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "263563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.