Individual provider Active NPI

George Kurian, M.D.

  • Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1285663070
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0042669 Issued in MD
Practice address
1600 Crain Hwy S
Suite 404
Glen Burnie, MD 21061-5577
Phone
(410) 761-4442
Fax
(410) 787-9647
NPI assigned
Jul 2, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0042669 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite 404
Glen Burnie, MD 21061-5577

Mailing address

10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008

Other identifiers 2

IdentifierTypeStateIssuer
7592 0001OtherDCCAREFIRST
5184G 32900001OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100413000045 MD Practitioner - Gastroenterology 2163558610 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0042669MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Digestive Center CurrentSince Mar 16, 2016 Accepting new patients
Colon Rectal Surgical Associates, LLC Past Accepting new patients
George Kurian, M.D. Gastroenterology PastSince Jan 1, 1995 Accepting new patients

Locations

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

Interoperability endpoints

  • Direct secure messaging: gkurian22441@direct.umm.edu

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1285663070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 404",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-761-4442",
            "fax_number": "410-787-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0042669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "7592  0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "5184G  32900001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.