Ajay Eapen Kuriyan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD468627 Issued in PA

Practice address

4060 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1560

Phone

(800) 331-6634

Fax

(267) 420-1360

NPI assigned

Jan 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Rochester School of Medicine and Dentistry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Surgeons, PAGroup PAC ID 9133170384, 22 clinicians

Retinovitreous Associates LTDGroup PAC ID 2961485412, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

Merit-based Incentive Payment System (MIPS)

Final score

97.52 of 100Reported as group

Quality

96.59

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

98.82 of 100Reported as group

Quality

97.86

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akuriyan@midatlret.intellechartdirect.net

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.

• Retinovitreous Associates LTD

  • Ophthalmology Physician
  • Plymouth Meeting, PA
  • NPI 1659326452
  Medicare reassignment Care Compare group NPD
• Associated Retinal Surgeons, PA

  • Ophthalmology Physician
  • Cherry Hill, NJ
  • NPI 1679625172
  Medicare reassignment Care Compare group NPD
• Retinovitreous Associates LTD

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1952552630
  NPD
• University of Miami

  dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1346317039
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Phila Trustee Acting by the BRD of Dir of City Trusts

  • Special Hospital
  • Philadelphia, PA
  • NPI 1881899284
  Care Compare affiliation

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1760786982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 BUTLER PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621560",
            "telephone_number": "800-331-6634",
            "fax_number": "267-420-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIYAN",
        "first_name": "AJAY",
        "middle_name": "EAPEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0013330",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10681700",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD468627",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD468627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akuriyan@midatlret.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4060 Butler Pike Ste 200",
            "city": "Plymouth Meeting",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194621560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Kulaga
• Kelly Marie Kulikowski
• Eileen Kulp
• Mary Rose Kulp, PTA
• Cheryl Kundla
• Monika Kuzio
• Geraldine Kwansah, PHTECH
• Frank Kwokori
• Gina Kyte, RN
• Heather Labudde, OT

• Ophthalmology Physician in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.