Bobby M Kuruvilla, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2381 Issued in MA

Practice address

575 Turnpike St
Suite 11
North Andover, MA 01845-5924

Phone

(978) 794-1946

Fax

(978) 975-3925

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Parkland Medical Center Hospital, Derry, NH, CCN 300017
• Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Merit-based Incentive Payment System (MIPS)

Final score

74.33 of 100Reported as group

Quality

45.66

Promoting interoperability

100

Improvement activities

40

Cost

68.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobby.kuruvilla.3@26085.direct.athenahealth.com

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.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170

  MA, NH

  Medicare reassignment Care Compare group NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796305

  MA

  Medicare reassignment NPD
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796321

  MA

  Medicare reassignment NPD
• Orthopaedics Northeast P.C.

  • Orthopaedic Surgery Physician
  • N Andover, MA
  • NPI 1003805540

  MA

  Medicare reassignment NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1407510712

  NH

  Medicare reassignment NPD
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1215680756

  NH

  Medicare reassignment NPD
• Orthopaedics Northeast, LLC

  • Orthopaedic Surgery Physician
  • North Andover, MA
  • NPI 1962884866

  MA

  Medicare reassignment
• Northeast Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Derry, NH
  • NPI 1477374155
  NPD
• Nyconn Orthopaedic & Rehabalitation Specialists, PLLC

  • Specialist
  • Stamford, CT
  • NPI 1336144120
  NPD (past)

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

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281

  Hospital

  Care Compare affiliation
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991

  Hospital

  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683

  Hospital

  Care Compare affiliation
• Neuro Rehab Associates, Inc

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1801800701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "address_2": "SUITE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-794-1946",
            "fax_number": "978-975-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "address_2": "SUITE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-794-1946",
            "fax_number": "978-975-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "BOBBY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006225",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005307",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000821",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2381",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Caporrella Krause, LICSW, CEAP
• Stellah Kulabako, NP
• Lisa Marie Kulpinski, PH.D.
• Parvathi Kumar, PHARM D
• Teodora Kurteva, MD
• Labella Home Health Agency LLC
• Shannon Labuza
• Erika Lacroix
• Vanesa Laferriere
• Paulo Lage, PTA, LMT

• Foot & Ankle Surgery Podiatrist in North Andover, MA
• Providers in North Andover, MA by specialty
• Foot & Ankle Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.