Ranjani Kurukulasuriya, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

017257 Issued in CT

Practice address

693 Bloomfield Ave
Bloomfield, CT 06002-2489

Phone

(860) 243-6584

Fax

(860) 243-6591

NPI assigned

Aug 15, 2006

Last updated

May 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ranjani Kurukulasuriya Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Intercommunity, Inc.

  • Primary Care Clinic/Center
  • East Hartford, CT
  • NPI 1073548533
  NPD (past)
• Intercommunity, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1962896548
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1669485819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 DAY HILL RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951722",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022489",
            "telephone_number": "860-243-6584",
            "fax_number": "860-243-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUKULASURIYA",
        "first_name": "RANJANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "017257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2190127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANJANI",
            "last_name": "KURUKULASURIYA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael M Krinsky, MD
• Kris Albrecht LLC
• Kristin Godiksen Physical Therapy and Wellness
• Michael P Kruger, MD
• Michele Krynski, PHD
• Angela Labella, PT
• Jean M Lafayette, DDS
• Alan Harris Lake, LCSW
• Erica Hope Lambert, M.D.
• Jill Noel Lambert, LCSW

• Psychiatry Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.