Individual provider Active NPI

Sam Kurien, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1649275272
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD072883L Issued in PA
Practice address
5241 Buffalo Rd
Erie, PA 16510-2391
Phone
(814) 877-5100
Fax
(814) 877-5121
NPI assigned
Jun 20, 2005
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD072883L PA Primary

Addresses

Primary practice location

5241 Buffalo Rd
Erie, PA 16510-2391

Mailing address

5241 Buffalo Rd
Erie, PA 16510-2391
Phone (814) 877-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sam.kurien@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040105000321 PA Practitioner - Family Practice 5698674117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

5241 Buffalo Rd
Erie, PA 16510-2391
Phone (814) 877-7686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Family Medicine CurrentSince Dec 1, 2004 Accepting new patients

Locations

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

5241 Buffalo Rd
Erie, PA 16510
Phone (814) 877-5100

717 State St
Ste 16LL
Erie, PA 16501
Phone (814) 877-7100

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: sam.kurien@upmcdirect.com

Organizations & group practices 1

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 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1649275272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102391",
            "telephone_number": "814-877-5100",
            "fax_number": "814-877-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102391",
            "telephone_number": "814-877-5100",
            "fax_number": "814-877-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIEN",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD072883L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.kurien@upmcdirect.com",
            "affiliation": "N",
            "address_1": "5241 Buffalo Rd",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165102391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.