Elizabeth Kuriakose, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023737 Issued in NY

Practice address

203 Gramatan Ave Ste a
Mount Vernon, NY 10550-1291

Phone

(914) 202-4830

Fax

(914) 202-4834

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.kuriakose.1@14965.direct.athenahealth.com

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.

• On Demand Urgent Care Group PC

  dba On Demand Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1053729814
  Medicare reassignment Care Compare group
• New York Medical Physician Associates PC

  • Hospitalist Physician
  • Poughkeepsie, NY
  • NPI 1578316501
  Medicare reassignment
• New York Medical Physician Associates PC

  • Hospitalist Physician
  • Margaretville, NY
  • NPI 1528869203
  NPD
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1396390522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARD DR",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602735",
            "telephone_number": "845-596-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GRAMATAN AVE STE A",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501291",
            "telephone_number": "914-202-4830",
            "fax_number": "914-202-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAKOSE",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Koomson
• Vikrum Kooner
• Kradlekare LLC
• Uriel Krakauer, PSYD
• Lauren C Kunis, CPD
• Mercy Kurian, LMHC
• Mirriam Kuyeli, LPN
• Youngjin Kwon, RN
• Keanna Kyer
• Kyung H Kim MD PC

• Physician Assistant in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.

Verify at the official NPI Registry.