Active NPI
Cyril Kuriakose, MD
- Nephrology Physician
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD209095
- Practice address
- 19300 SW 65TH Ave
Tualatin, OR 97062-7706 - Phone
- (503) 692-1212
- NPI assigned
- Jun 20, 2007
- Last updated
- Mar 30, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD60279943 | WA | |
| Nephrology Physician | 207RN0300X | MD209095 | OR | Primary |
| Nephrology Physician | 207RN0300X | ME115421 | FL | |
| Nephrology Physician | 207RN0300X | MED-PHYS-COM-LIC-145 | MT |
Addresses
Primary practice location
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Mailing address
1130 NW 22ND Ave Ste 640
Portland, OR 97210-5488
Phone (503) 229-7976
Other practice location 1
1130 NW 22nd Ave Ste 640
Portland, OR 97210-5488
Phone (503) 229-7976
Other practice location 2
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
Other practice location 3
3055 N Reserve St Ste D
Missoula, MT 59808-1395
Phone (406) 327-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN | Other | FL | 591561574 |
| 1255536181 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, FL, OR, ND, MT, ID, NC, OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Garfield County Memorial Hospital DistrictMcKenzie County Healthcare Systems Inc
Practice addresses (Care Compare)
10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000
107 13TH St N
New Rockford, ND 58356
Phone (701) 947-2042
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330
201 NW Medical Loop
Suite 170
Roseburg, OR 97471-8835
Phone (503) 998-4125
2460 NW Stewart Pkwy
Suite 102
Roseburg, OR 97471-1516
Phone (541) 464-6258
410 Birchwood Ave
Suite 200
Bellingham, WA 98225-1783
Phone (360) 554-2501
417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770
446 Pataha St
Pomeroy, WA 99347-8634
Phone (509) 843-1591
709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-COM-LIC-145 | MT | MD | Cardiovascular Disease Physician |
| MD60279943 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Kidney Care LLC | Nephrology | Current | Accepting new patients |
| Garfield County Memorial Hospital District | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Garfield County Memorial Hospital District | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Garfield County Memorial Hospital District | Current | Accepting new patients | |
| Nephrology Associates of Central Florida, P.a. | Nephrology | Current | Accepting new patients |
| McKenzie County Healthcare Systems Inc | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Centennial Medical Group Inc. | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Current | Accepting new patients | |
| Ubh of Oregon, LLC | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Renasolve | Nephrology | Current | Accepting new patients |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Sampson Regional Hospitalists, LLC | Current | Accepting new patients | |
| Cooperstown Medical Center | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Cooperstown Medical Center | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| Renal Access of Central Florida LLC | Nephrology | Past | Accepting new patients |
| Legacy Meridian Park Pediatric Rehab | Past | Accepting new patients |
Locations
1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221
2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693
807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
3055 N Reserve St
Ste D
Missoula, MT 59808
Phone (406) 327-7000
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729
107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700
1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128
1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010
525 N Main St
Watford City, ND 58854
Phone (701) 842-3771
709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331
1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000
201 NW Medical Loop
Ste 170
Roseburg, OR 97471
Phone (541) 440-2165
201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319
2460 NW Stewart Pkwy
Ste 102
Roseburg, OR 97471
Phone (541) 464-6258
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
410 Birchwood Ave
Ste 200
Bellingham, WA 98225
Phone (360) 554-2501
446 Pataha St
Pomeroy, WA 99347
Phone (503) 843-1491
66 N 6th St
Pomeroy, WA 99347
Phone (509) 843-1491
Interoperability endpoints
- cyril.kuriakose.1@17388.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
- washingtonkidneycare.cyrilkuriakose@160470.advancedmd-direct.com
Organizations & group practices 34
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.
-
- Surgery Physician
- Roseburg, OR
- NPI 1518103274
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba CMC Rural Health Clinic
- Rural Health Clinic/Center
- Cooperstown, ND
- NPI 1962548214
-
dba Ozarks Community Hospital of Gravette
- Critical Access Hospital
- Gravette, AR
- NPI 1568643005
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
-
- Nephrology Physician
- Bellingham, WA
- NPI 1013746635
-
- Rural Health Clinic/Center
- Pomeroy, WA
- NPI 1114028693
-
dba Garfield County Public Hospital District 1
- Critical Access Hospital
- Pomeroy, WA
- NPI 1255429957
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1396516506
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Newberg Medical Center
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1255536181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE STE 640",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105488",
"telephone_number": "503-229-7976",
"fax_number": "503-274-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 SW 65TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627706",
"telephone_number": "503-692-1212"
}
],
"practiceLocations": [
{
"address_1": "1130 NW 22nd Ave Ste 640",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972105488",
"country_code": "US",
"telephone_number": "503-229-7976",
"fax_number": "503-274-4867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Jackson St SW",
"address_purpose": "LOCATION",
"city": "Gravette",
"state": "AR",
"postal_code": "727369121",
"country_code": "US",
"telephone_number": "479-787-5291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3055 N Reserve St Ste D",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598081395",
"country_code": "US",
"telephone_number": "406-327-7000",
"fax_number": "406-329-1927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURIAKOSE",
"first_name": "CYRIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD60279943",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "MD209095",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME115421",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MT",
"license": "MED-PHYS-COM-LIC-145",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "591561574",
"identifier": "EIN",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255536181",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.