Active NPI
Teessa Perekattu Kuruvilla, MD
- Radiation Oncology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- T-3726
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-3726 | Other | MS | MS STATE BOARD OF MEDICAL LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tperekattukuruvilla@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
550 N University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-5000
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3726 | MS | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Radiation Oncology Associates, Inc. | Radiation Oncology | Current | 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
- 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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1770534687
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.