Individual provider Active NPI

Anuja Gupta Kurichh, MD

  • Internal Medicine Physician
  • College Park, MD
National Provider Identifier
1023228947
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0055185 Issued in MD
Practice address
4700 Berwyn House Rd
Suite 105
College Park, MD 20740-2474
Phone
(301) 982-0011
Fax
(301) 476-7499
NPI assigned
May 22, 2007
Last updated
Jul 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0055185 MD Primary
Internal Medicine Physician 207R00000X 0101840456 VA
Internal Medicine Physician 207R00000X MD32209 DC

Addresses

Primary practice location

4700 Berwyn House Rd
Suite 105
College Park, MD 20740-2474

Mailing address

26 Blackburn CT
Burtonsville, MD 20866-1650
Phone (301) 476-9373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090319000014 DC Practitioner - Internal Medicine 8123188596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

7249 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3608
Phone (301) 613-8923

7343 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3627
Phone (301) 474-3232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD32209DCMDInternal Medicine Physician
D0055185MDMDInternal Medicine Physician
0101840456VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHC Healthcare LLC Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4700 Berwyn House Rd
Ste 105
College Park, MD 20740
Phone (240) 472-5639

7343 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 345-7030

12975 Highland Rd
Unit 275
Highland, MD 20777

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1023228947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BLACKBURN CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661650",
            "telephone_number": "301-476-9373",
            "fax_number": "301-476-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BERWYN HOUSE RD",
            "address_2": "SUITE 105",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402474",
            "telephone_number": "301-982-0011",
            "fax_number": "301-476-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURICHH",
        "first_name": "ANUJA",
        "middle_name": "GUPTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055185",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101840456",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD32209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

Verify at the official NPI Registry.