Active NPI
Ruben Kuruvilla, M.D.
- Ophthalmology Physician
- Biloxi, MS
National Provider Identifier
1104051911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 312258
- Practice address
- Gulf Coast Veterans Health Care System
400 Veterans Avenue
Biloxi, MS 39531 - Phone
- (228) 523-4905
- NPI assigned
- May 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD451477 | PA | |
| Ophthalmology Physician | 207W00000X | 312258 | LA | Primary |
Addresses
Primary practice location
Gulf Coast Veterans Health Care System
400 Veterans Avenue
Biloxi, MS 39531
Mailing address
400 Veterans Ave
Biloxi, MS 39531-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312258 | LA | MD | Ophthalmology Physician |
| MD451477 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Eye Specialists P a | Ophthalmology | Past | Accepting new patients |
| Corneal Associates of New Jersey | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- West Orange, NJ
- NPI 1437103991
-
- Ophthalmology Physician
- Iselin, NJ
- NPI 1376593863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1104051911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VETERANS AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GULF COAST VETERANS HEALTH CARE SYSTEM",
"address_2": "400 VETERANS AVENUE",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-523-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUVILLA",
"first_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-22",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD451477",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "312258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.