Vibin Thomas Kuriakose, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA11358 Issued in TX

Practice address

902 W Randol Mill Rd Ste 120
Arlington, TX 76012-2579

Phone

(817) 801-1503

Fax

(817) 801-1508

NPI assigned

Sep 22, 2017

Last updated

Jan 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Doctx3 PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1467808618
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment NPD
• Doctx3 PLLC

  • Clinic/Center
  • Mansfield, TX
  • NPI 1437802097
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1467961375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122579",
            "telephone_number": "817-801-1503",
            "fax_number": "817-801-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122579",
            "telephone_number": "817-801-1503",
            "fax_number": "817-801-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750101118",
            "country_code": "US",
            "telephone_number": "972-939-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAKOSE",
        "first_name": "VIBIN",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11358",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumock PLLC
• Hayan Kundi, MD
• Kurban Chiropractic Healthcare Clinic, P.C.
• Janette A. Kurban, D.C.
• Maya Alex Kuriakose, M.D.
• Reji Kurian
• Kurt W. Meyer,D.D.S., Inc.
• Kurt W. Voss, D.O., P.a.
• Mohammed Kurtom
• Nichole Elyssa Kury, RN

• Surgical Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.