NPIMap

Individual provider Active NPI

David Reynard Kurish, MD

  • Internal Medicine Physician
  • Sharon, CT
National Provider Identifier
1447265228
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20638 Issued in CT
Practice address
29 Hospital Hill Rd
Suite 1200
Sharon, CT 06069-2095
Phone
(860) 364-0456
Fax
(860) 364-5163
NPI assigned
Jul 30, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20638 CT Primary
Internal Medicine Physician 207R00000X 1650191 NY

Addresses

Primary practice location

29 Hospital Hill Rd
Suite 1200
Sharon, CT 06069-2095

Mailing address

PO Box 67
Sharon Medical Arts Ctr
Sharon, CT 06069-0067
Phone (860) 364-0456

Other identifiers 8

IdentifierTypeStateIssuer
010020638CT02OtherANTHEM BCBS
001206382MedicaidCT
061008623OtherHMC PPO
110229114OtherRAILROAD MEDICARE
939034OtherMVP
00534932OtherNYMEDICAID
0V0096OtherHEALTH NET
P562780OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000287 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6103730783 Practice locations: Sharon, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Rochester School of Medicine and Dentistry, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 Hospital Hill Rd
Suite 1200
Sharon, CT 06069-2095
Phone (860) 364-0456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
82.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1650191NYMDInternal Medicine Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1447265228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "address_2": "SHARON MEDICAL ARTS CTR",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060690067",
            "telephone_number": "860-364-0456",
            "fax_number": "860-364-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL HILL RD",
            "address_2": "SUITE 1200",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692095",
            "telephone_number": "860-364-0456",
            "fax_number": "860-364-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURISH",
        "first_name": "DAVID",
        "middle_name": "REYNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "20638",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1650191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010020638CT02",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001206382",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC PPO",
            "identifier": "061008623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110229114",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "939034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00534932",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0V0096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P562780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

Verify at the official NPI Registry.