Active NPI
Amy Elizabeth Kuruvilla
- Hospitalist Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036.180876
- Practice address
- 1620 W Harrison St
Chicago, IL 60612-3801 - Phone
- (312) 942-4200
- NPI assigned
- Apr 14, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.180876 | IL | |
| Internal Medicine Physician | 207R00000X | 83742 | CT | |
| Hospitalist Physician | 208M00000X | 036.180876 | IL | Primary |
Addresses
Primary practice location
1620 W Harrison St
Chicago, IL 60612-3801
Mailing address
1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-4200
Other practice location 1
471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 333-6864
Other practice location 2
5645 Main St
Flushing, NY 11355-5045
Phone (845) 480-4706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- 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
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 576-3885
Hospital & facility affiliations
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83742 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Internal Medicine | Current | Accepting new patients |
| Optimus Health Care Inc | Current | Accepting new patients | |
| New York University | Internal Medicine | Current | Accepting new patients |
| Optimus Health Care Inc | Current | Accepting new patients | |
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
111 E 210th St
Bronx, NY 10467
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Interoperability endpoints
- akuruvilla521521@nyumc.direct-ci.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1780944736
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1366976508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123801",
"telephone_number": "312-942-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123801",
"telephone_number": "312-942-4200"
}
],
"practiceLocations": [
{
"address_1": "471 Barnum Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066082409",
"country_code": "US",
"telephone_number": "203-333-6864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "845-480-4706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURUVILLA",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.180876",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "83742",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036.180876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.