Individual provider Active NPI

Raymond Charles Kurker, MD

  • Family Medicine Physician
  • South Windsor, CT
National Provider Identifier
1003966342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
027432 Issued in CT
Practice address
25 Oakland Rd
Suite 1
South Windsor, CT 06074-2834
Phone
(860) 644-5628
Fax
(860) 648-1107
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 027432 CT Primary

Addresses

Primary practice location

25 Oakland Rd
Suite 1
South Windsor, CT 06074-2834

Mailing address

25 Oakland Rd
Suite 1
South Windsor, CT 06074-2834
Phone (860) 644-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20041020000210 CT Practitioner - Family Practice 8426019910 Practice locations: South Windsor, CT

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Oakland Rd
Suite 1
South Windsor, CT 06074-2842

25 Oakland Rd
Suite 1
South Windsor, CT 06074-2897
Phone (860) 644-5628

Hospital & facility affiliations

  • Trinity Health of New England at Home Home health agency, Hartford, CT, CCN 077005
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Rockville General Hospital Hospital, Vernon, CT, CCN 070012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond C Kurker, M.D. PastSince Feb 8, 1995 Accepting new patients

Organizations & group practices 1

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 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003966342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAKLAND RD",
            "address_2": "SUITE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742834",
            "telephone_number": "860-644-5628",
            "fax_number": "860-648-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAKLAND RD",
            "address_2": "SUITE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742834",
            "telephone_number": "860-644-5628",
            "fax_number": "860-648-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKER",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "027432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.