Active NPI
Arlet G. Kurkchubasche, MD
- Pediatric Surgery Physician
- Providence, RI
National Provider Identifier
1316944127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD9613
- Practice address
- 2 Dudley Street
Suite 190
Providence, RI 02905 - Phone
- (401) 421-1939
- Fax
- (401) 868-2319
- NPI assigned
- Jul 7, 2005
- Last updated
- Jan 29, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD9613 | RI | Primary |
| Pediatric Surgery Physician | 2086S0120X | RI9613 | RI |
Addresses
Primary practice location
2 Dudley Street
Suite 190
Providence, RI 02905
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 854-2428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3173780 | Medicaid | MA | |
| 9020611 | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Arlet.Kurkchubasche.usasurg@direct-address.net | Direct |
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 |
|---|---|---|---|
| MD9613 | RI | MD | Pediatric Surgery Physician |
| RI9613 | RI | MD | Pediatric Surgery Physician |
Interoperability endpoints
- arlet.kurkchubasche.usasurg@direct-address.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1316944127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16149",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160697",
"telephone_number": "401-854-2428",
"fax_number": "401-435-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DUDLEY STREET",
"address_2": "SUITE 190",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-421-1939",
"fax_number": "401-868-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURKCHUBASCHE",
"first_name": "ARLET",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "RI",
"license": "MD9613",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "RI",
"license": "RI9613",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3173780",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020611",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Arlet.Kurkchubasche.usasurg@direct-address.net",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Dudley Street",
"address_2": "Suite 190",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "02905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.