Individual provider Active NPI

Teessa Perekattu Kuruvilla, MD

  • Radiation Oncology Physician
  • Jackson, MS
National Provider Identifier
1124584800
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
T-3726 Issued in MS
Practice address
Department of Radiation Oncology
350 Woodrow Wilson Dr
Jackson, MS 39216-4505
Phone
(601) 815-6886
Fax
(601) 815-1846
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X T-3726 MS Primary
Radiation Oncology Physician 2085R0001X 01095903A IN

Addresses

Primary practice location

Department of Radiation Oncology
350 Woodrow Wilson Dr
Jackson, MS 39216-4505

Mailing address

University of Ms Medical Center
2500 N State St Department of Radiation Oncology
Jackson, MS 39216-4505
Phone (601) 815-6886

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-2524

Other identifiers 1

IdentifierTypeStateIssuer
T-3726OtherMSMS STATE BOARD OF MEDICAL LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tperekattukuruvilla@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250424003725 IN Practitioner - Radiation Oncology 9638695307 Reassigns benefits to 1 organization
I20251007000836 IN Practitioner - Diagnostic Radiology 9638695307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiation Oncology Associates, Inc.Group PAC ID 6507831856, 15 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

550 N University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-5000

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-3726MSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
University Radiation Oncology Associates, Inc. Radiation Oncology CurrentSince Apr 7, 2025 Accepting new patients

Locations

2769 Solution Ctr
Chicago, IL 60677

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

11645 Illinois St
Carmel, IN 46032
Phone (317) 688-4800

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

10212 Lantern Rd
Fishers, IN 46037
Phone (317) 678-2700

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

710 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 274-2524

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: tperekattukuruvilla142304@direct.eskenazihealth.edu

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.

Hospital & facility affiliations 1

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1124584800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MS MEDICAL CENTER",
            "address_2": "2500 N STATE ST DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164505",
            "telephone_number": "601-815-6886",
            "fax_number": "601-815-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF RADIATION ONCOLOGY",
            "address_2": "350 WOODROW WILSON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164505",
            "telephone_number": "601-815-6886",
            "fax_number": "601-815-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREKATTU KURUVILLA",
        "first_name": "TEESSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "T-3726",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01095903A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS STATE BOARD OF MEDICAL LICENSURE",
            "identifier": "T-3726",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tperekattukuruvilla@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.