Renuka Reddy Kuruvalli, M.D

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

FE166260 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Orthopaedic and Rehabilitaion Department
Portland, OR 97239-3011

Phone

(503) 494-8991

Fax

(503) 494-5050

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1700203338",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "C/O N KRISHNA REDDY, S3 ESSARDE ARCADE, PLOT NO 135",
            "address_2": "ROAD NO 4, EAST KAKATIYA NAGAR, NEREDMET,",
            "city": "HYDERABAD",
            "state": "A.P",
            "postal_code": "500056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "ORTHOPAEDIC AND REHABILITAION DEPARTMENT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8991",
            "fax_number": "503-494-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVALLI",
        "first_name": "RENUKA REDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OR",
            "license": "FE166260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Kurtz Jr., PSYD
• James H Kurtz, D.O.
• Kathryn Kurtz, LMT
• Marc Franklin Kurtzman, MD
• Nalini Kuruppu, MSW, LCSW
• Liya Kuruvilla, PA-C
• Stephanie Kurzenhauser, MSW, LCSW
• Melissa Ann Kuser, ND LAC
• Lori Kushiyama
• Jessica D Kushner, M.S., C.G.C

• Orthopaedic Surgery of the Spine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery of the Spine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.