Active NPI
Shankar Kurra, M.D.
- Hospitalist Physician
- Kingston, NY
National Provider Identifier
1548286743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35-092212
- Practice address
- 105 Marys Ave
Kingston, NY 12401-5829 - Phone
- (845) 338-2500
- Fax
- (845) 334-3070
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-092212 | OH | |
| Internal Medicine Physician | 207R00000X | 334665 | NY | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 35-092212 | OH | |
| Emergency Medicine Physician | 207P00000X | 01047100 | IN | |
| Hospitalist Physician | 208M00000X | 35-092212 | OH | Primary |
Addresses
Primary practice location
105 Marys Ave
Kingston, NY 12401-5829
Mailing address
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200174730 | Medicaid | IN | |
| 2871398 | Medicaid | OH | |
| 000000581380 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-092212 | OH | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Mid State Logansport Ed Physicians | Emergency Medicine | Past | Accepting new patients |
| Wabash Em I Medical Services PC | Past | Accepting new patients | |
| Emergency Medicine of Indiana | Emergency Medicine | Past | Accepting new patients |
| Hospital Medicine Associates of Ohio Professional Corporation | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Franklin County, LTD | Internal Medicine | Past | Accepting new patients |
| Emergency Physicians of Delaware County, P.C. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1417956384
-
- Hospitalist Physician
- Norwalk, OH
- NPI 1508168253
Internal Medicine
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1326088782
-
- Emergency Medicine Physician
- Logansport, IN
- NPI 1831233287
-
- Emergency Medicine Physician
- Portland, IN
- NPI 1457302077
-
- Physician Assistant
- Logansport, IN
- NPI 1013110295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1548286743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015829",
"telephone_number": "845-338-2500",
"fax_number": "845-334-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015829",
"telephone_number": "845-338-2500",
"fax_number": "845-334-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURRA",
"first_name": "SHANKAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-092212",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "334665",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "35-092212",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01047100",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35-092212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200174730",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871398",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000581380",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.