Individual provider Active NPI

Vipin Prabhu Kuriachan, M.D.

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1043522337
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q0489 Issued in TX
Practice address
6750 N Macarthur Blvd
Ste 205
Irving, TX 75039-2875
Phone
(972) 823-6430
Fax
(972) 823-6431
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X Q0489 TX Primary

Addresses

Primary practice location

6750 N Macarthur Blvd
Ste 205
Irving, TX 75039-2875

Mailing address

2021 N Macarthur Blvd
Ste 150
Irving, TX 75061-2219
Phone (972) 253-2560

Other identifiers 1

IdentifierTypeStateIssuer
3374704 01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140819001789 TX Practitioner - Ophthalmology 9830316611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuriachan Eye Institute, PLLCGroup PAC ID 7113273319, 2 clinicians

Practice addresses (Care Compare)

6750 N Macarthur Blvd
Suite 331
Irving, TX 75039-2516
Phone (469) 886-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.93 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
66.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kuriachan Eye Institute, PLLC Ophthalmology CurrentSince Jun 25, 2018 Accepting new patients

Locations

731 Plaza Blvd
Coppell, TX 75019
Phone (469) 451-5700

6750 N MacArthur Blvd
Ste 331
Irving, TX 75039
Phone (469) 886-8888

400 W Lyndon B Johnson Fwy
Irving, TX 75063
Phone (972) 868-4000

Interoperability endpoints

  • Direct secure messaging: vkuriachan459918@direct.sw.org

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1043522337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-2560",
            "fax_number": "972-253-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD",
            "address_2": "STE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392875",
            "telephone_number": "972-823-6430",
            "fax_number": "972-823-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIACHAN",
        "first_name": "VIPIN",
        "middle_name": "PRABHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q0489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374704 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.