Individual provider Active NPI

Oscar Kuruvilla, M.D.

  • Ophthalmology Physician
  • Lancaster, SC
National Provider Identifier
1861711558
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD37781 Issued in SC
Practice address
1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone
(803) 285-4333
Fax
(803) 285-3472
NPI assigned
May 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD37781 SC Primary
Ophthalmology Physician 207W00000X 4301096321 MI
Ophthalmology Physician 207W00000X 2015-00277 NC
Ophthalmology Physician 207W00000X MD51142 TN

Addresses

Primary practice location

1240 Colonial Commons CT
Lancaster, SC 29720-2200

Mailing address

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20150710002632 SC Practitioner - Ophthalmology 7315179181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Eye Clinic P.a.Group PAC ID 4981799509, 6 clinicians

Practice addresses (Care Compare)

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD37781SCMDOphthalmology Physician
MD51142TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Eye Clinic P.a. Ophthalmology CurrentSince Sep 18, 2017 Accepting new patients
Lancaster Eye Clinic, PA Ophthalmology Current Accepting new patients

Locations

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

209 S Wylie St
Lancaster, SC 29720
Phone (803) 285-4333

1240 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 285-3333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1861711558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 COLONIAL COMMONS CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202200",
            "telephone_number": "803-285-4333",
            "fax_number": "803-285-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 COLONIAL COMMONS CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202200",
            "telephone_number": "803-285-4333",
            "fax_number": "803-285-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "OSCAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "MD37781",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301096321",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2015-00277",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD51142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.