Provider Demographics
NPI:1265427637
Name:MURPHY, THOMAS N (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:N
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9998 CROSSPOINT BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3307
Mailing Address - Country:US
Mailing Address - Phone:317-579-2150
Mailing Address - Fax:317-579-2130
Practice Address - Street 1:9998 CROSSPOINT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3307
Practice Address - Country:US
Practice Address - Phone:317-579-2150
Practice Address - Fax:317-579-2130
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040011A2085R0204X, 2085R0202X
IN10400112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00018792OtherRR MEDICARE PIN
IN300083293OtherRAILROAD MEDICARE
P00018793OtherRR MEDICARE PIN
P00018789OtherRR MEDICARE PIN
P00019751OtherRR MEDICARE PIN
IN100357690AMedicaid
P00018546OtherRR MEDICARE PIN
P00023113OtherRR MEDICARE PIN
IN000000109953OtherANTHEM
P00018396OtherRR MEDICARE PIN
P00019974OtherRR MEDICARE PIN
P00021400OtherRR MEDICARE PIN
P00024228OtherRR MEDICARE PIN
P00018583OtherRR MEDICARE PIN
IN822400UMedicare PIN
P00018396OtherRR MEDICARE PIN
P00018583OtherRR MEDICARE PIN
P00019974OtherRR MEDICARE PIN
P00018789OtherRR MEDICARE PIN
152410WMedicare PIN
151990NNMedicare PIN