Individual provider Active NPI

John David Kuruc, M.D.

  • Internal Medicine Physician
  • Steubenville, OH
National Provider Identifier
1497739171
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
350-45513 Issued in OH
Practice address
2196 Sunset Blvd
Steubenville, OH 43952-2405
Phone
(740) 264-0111
Fax
(740) 346-0511
NPI assigned
Dec 6, 2005
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 350-45513 OH Primary
Internal Medicine Physician 207R00000X 35045513 OH

Addresses

Primary practice location

2196 Sunset Blvd
Steubenville, OH 43952-2405

Mailing address

2196 Sunset Blvd
Steubenville, OH 43952-2405
Phone (740) 264-0111

Other practice location 1

924 3rd St
Brilliant, OH 43913-1049
Phone (740) 598-3532

Other identifiers 2

IdentifierTypeStateIssuer
0545315MedicaidOH
110010252OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000232 OH Practitioner - Internal Medicine 3678624970 Practice locations: Brilliant, OH; Steubenville, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab-Bray LLCGroup PAC ID 8527256460, 84 clinicians

Practice addresses (Care Compare)

2196 Sunset Blvd
Steubenville, OH 43952-2405
Phone (740) 264-0111

2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone (740) 264-0772

924 3Rd St
Brilliant, OH 43913-1049
Phone (740) 598-3532

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350-45513OHMDInternal Medicine Physician
35045513OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John D. Kuruc, M.D. Internal Medicine PastSince Oct 1, 1987 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1497739171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522405",
            "telephone_number": "740-264-0111",
            "fax_number": "740-346-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522405",
            "telephone_number": "740-264-0111",
            "fax_number": "740-346-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 3rd St",
            "address_purpose": "LOCATION",
            "city": "Brilliant",
            "state": "OH",
            "postal_code": "439131049",
            "country_code": "US",
            "telephone_number": "740-598-3532",
            "fax_number": "740-346-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURUC",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "350-45513",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545315",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110010252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.