Anita M Kuruvilla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L16939 Issued in TX

Practice address

310 Gaslight Blvd
Lufkin, TX 75904-3133

Phone

(936) 632-8787

Fax

(936) 632-8832

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homecare Solutions of East Texas Inc Home health agency, Woodville, TX, CCN 679222
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
• Pine Ridge Health Care LLP Nursing home, Livingston, TX, CCN 676000

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pineywoods Diagnostic Clinic of East Texas PA

  • Internal Medicine Physician
  • Livingston, TX
  • NPI 1265519730
  Medicare reassignment NPD
• Heart Institute of East Texas P a

  • Cardiovascular Disease Physician
  • Lufkin, TX
  • NPI 1174637631
  NPD (past)

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

• Homecare Solutions of East Texas, Inc.

  • Home Health Agency
  • Woodville, TX
  • NPI 1265414346
  Care Compare affiliation
• Liberty County Hospital District No 1

  • Skilled Nursing Facility
  • Livingston, TX
  • NPI 1053316331

  Nursing home

  Care Compare affiliation
• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1851377477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "ANITA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L16939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148180601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Krohn, ATC, LAT
• Karl L Krohn, M.D.
• Kyle G Krohn, M.D.
• Prashant Kumar, M.D.
• Swati Sharma Kumar, MBBS
• Laboratory Corporation of America
• Gracie Laird, PTA
• Gloria Cervantes Lamkin, LCSW
• Carmon L Lampley-Roberts, OD
• David Lynn Larned, MD

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.