Active NPI
Karina Kuruvilla, PA-C
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 21 Grand St
Hartford, CT 06106-1541 - Phone
- (860) 550-7500
- Fax
- (860) 550-7561
- NPI assigned
- Nov 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
21 Grand St
Hartford, CT 06106-1541
Mailing address
7 Boa Vista Dr
Lake Hopatcong, NJ 07849-2417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
375 Willard Ave
Newington, CT 06111-2300
Phone (860) 258-3480
Hospital & facility affiliations
- Hartford Healthcare at Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3252 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Jema Physicians' Services, L.L.C. | Past | Accepting new patients | |
| Emergency Medical Consultants of South Jersey LLC | Past | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
21 Grand St
Hartford, CT 06106
375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252
2110 Silas Deane Hwy
Rocky Hill, CT 06067
209 Main St
Southington, CT 06489
Phone (860) 329-0401
Interoperability endpoints
- karina.kuruvilla@xdr.hhchealthdirect.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1992750855
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1841937679
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
-
- Hospitalist Physician
- East Orange, NJ
- NPI 1659523264
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1003861675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1831595255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BOA VISTA DR",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078492417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GRAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061541",
"telephone_number": "860-550-7500",
"fax_number": "860-550-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUVILLA",
"first_name": "KARINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.