Active NPI
Ashok K Kuruvilla, MD
- Endocrinology, Diabetes & Metabolism Physician
- Gettysburg, PA
National Provider Identifier
1841213733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD445901
- Practice address
- 40 V Twin Dr
Suite 205
Gettysburg, PA 17325-7875 - Phone
- (717) 339-2790
- Fax
- (717) 339-2771
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD445901 | PA | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME0062275 | FL |
Addresses
Primary practice location
40 V Twin Dr
Suite 205
Gettysburg, PA 17325-7875
Mailing address
1803 Mount Rose Ave
Suite B3
York, PA 17403-3026
Phone (717) 851-1405
Other practice location 1
12 St Paul Dr Ste 210
Chambersburg, PA 17201-1035
Phone (717) 217-6820
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102723346 | Medicaid | PA | |
| 418792 | Other | PA | UPMC |
| 371525600 | Medicaid | FL | |
| 30123102 | Other | PA | AMERIHEALTH MERCY - WMG |
| 1612004 | Other | PA | GATEWAY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062275 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Labi & Brady, PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Columbia Primary Care LLC | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1265567994
-
- Durable Medical Equipment & Medical Supplies
- Coral Springs, FL
- NPI 1578739546
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1841213733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"telephone_number": "717-851-1405",
"fax_number": "717-339-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 V TWIN DR",
"address_2": "SUITE 205",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257875",
"telephone_number": "717-339-2790",
"fax_number": "717-339-2771"
}
],
"practiceLocations": [
{
"address_1": "12 St Paul Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6820",
"fax_number": "717-839-2768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURUVILLA",
"first_name": "ASHOK",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD445901",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME0062275",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102723346",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "418792",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371525600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30123102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1612004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.