NPIMap

Individual provider Active NPI

Thurai Y Kumaran, M.D.

  • Internal Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1760489173
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073898 Issued in OH
Practice address
960 W Wooster St
Suite 205
Bowling Green, OH 43402-2644
Phone
(419) 352-2105
Fax
(419) 352-2695
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073898 OH Primary

Addresses

Primary practice location

960 W Wooster St
Suite 205
Bowling Green, OH 43402-2644

Mailing address

PO Box 1369
Bowling Green, OH 43402-8169
Phone (419) 352-2105

Other identifiers 1

IdentifierTypeStateIssuer
2053745MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000399 OH Practitioner - Internal Medicine 7113061763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

960 W Wooster St
Suite 205
Bowling Green, OH 43402-2650
Phone (419) 352-2105

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073898OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Clinic, Inc. Current Accepting new patients
Maumee Valley Internist Inc Internal Medicine CurrentSince Mar 13, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

960 W Wooster St
Ste 205
Bowling Green, OH 43402
Phone (419) 352-2105

3841 Navarre Ave
Oregon, OH 43616
Phone (419) 691-8132

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJHBA/Endpoint/FCJHBA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1760489173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434028169",
            "telephone_number": "419-352-2105",
            "fax_number": "419-352-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-352-2105",
            "fax_number": "419-352-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARAN",
        "first_name": "THURAI",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.