Active NPI
Kruthika N Gurukkal, MD
- Pediatrics Physician
- San Marcos, TX
National Provider Identifier
1548956725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W6644
- Practice address
- 601B Leah Ave
San Marcos, TX 78666-7849 - Phone
- (512) 392-1700
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W6644 | TX | Primary |
Addresses
Primary practice location
601B Leah Ave
San Marcos, TX 78666-7849
Mailing address
601B Leah Ave
San Marcos, TX 78666-7849
Phone (512) 392-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230713000005 | TN | Order and Referring Only - Pediatric Medicine | 3779943477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1548956725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601B LEAH AVE",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667849",
"telephone_number": "512-392-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601B LEAH AVE",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667849",
"telephone_number": "512-392-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURUKKAL",
"first_name": "KRUTHIKA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W6644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.