NPIMap

Organization Active NPI

Kurup Wound Care, Inc.

  • Family Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1861652646
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0063681 Issued in MD
Legal business name
KURUP WOUND CARE, INC.
Practice address
1835 University Blvd E
Ste 208
Hyattsville, MD 20783-4600
Phone
(301) 873-9876
Fax
(301) 445-3502
NPI assigned
Jun 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. Ajit Gopal Kurup, M.D.NPI 1417900051
Title
Owner / President
Phone
(301) 873-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0063681 MD Primary

Addresses

Primary practice location

1835 University Blvd E
Ste 208
Hyattsville, MD 20783-4600

Mailing address

1835 University Blvd E
Ste 208
Hyattsville, MD 20783-4600
Phone (301) 873-9876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090218000520 DC Part B Supplier - Clinic/Group Practice 0345305710 Receives reassigned benefits from 2 practitioners
Practice locations: Hyattsville, MD
O20090218000596 MD Part B Supplier - Clinic/Group Practice 0345305710 Receives reassigned benefits from 2 practitioners
Practice locations: Hyattsville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1061649Kurup Wound Care Inc1835 University Blvd E Ste 208, Hyattsville, MD 20783Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Locations

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

7600 Carroll Ave
#1
Takoma Park, MD 20912
Phone (301) 445-3501

901 Arcola Ave
Wheaton, MD 20902
Phone (301) 649-2081

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1861652646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "address_2": "STE 208",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-873-9876",
            "fax_number": "301-445-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "address_2": "STE 208",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-873-9876",
            "fax_number": "301-445-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURUP WOUND CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-14",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "KURUP",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "GOPAL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "301-873-9876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0063681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.