Active NPI
Sandhya Tiwade Kurian, M.D.
- Family Medicine Physician
- Kirkwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017008412
- Practice address
- 10700 Manchester Rd Ste E
Kirkwood, MO 63122-1307 - Phone
- (314) 428-9541
- NPI assigned
- Apr 21, 2009
- Last updated
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 2017008412 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 036-130438 | IL |
Addresses
Primary practice location
10700 Manchester Rd Ste E
Kirkwood, MO 63122-1307
Mailing address
10700 Manchester Rd Ste E
Kirkwood, MO 63122-1307
Phone (314) 428-9541
Other practice location 1
1 Professional Drive
Suite 220
Alton, IL 62002-5068
Phone (618) 463-8574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207219 | Other | IL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.87 of 100
- Quality
- 31.86
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 61.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-130438 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Family Medicine | Current | Accepting new patients |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Past | Accepting new patients | |
| Alton Memorial Physician Billing Services LLC | Past | Accepting new patients |
Locations
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
2031 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 206-2690
10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
Family Medicine
-
dba BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
dba Alton MultiSpecialists Physicians
- Multi-Specialty Clinic/Center
- Alton, IL
- NPI 1558783647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1053555177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MANCHESTER RD STE E",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631221307",
"telephone_number": "314-428-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MANCHESTER RD STE E",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631221307",
"telephone_number": "314-428-9541"
}
],
"practiceLocations": [
{
"address_1": "1 Professional Drive",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620025068",
"country_code": "US",
"telephone_number": "618-463-8574",
"fax_number": "618-463-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURIAN",
"first_name": "SANDHYA",
"middle_name": "TIWADE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2017008412",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-130438",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "207219",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.