Kuruvilla Oncology, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

KURUVILLA ONCOLOGY, LLC

Practice address

600 Zeagler Dr
Palatka, FL 32177-3811

Phone

(386) 325-8140

Fax

(904) 350-0032

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Anand M Kuruvilla, MDNPI 1740246974

Title

President and Ceo

Phone

(386) 325-8140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Putnam Radiation Oncology LLC

  • Radiation Oncology Physician
  • Palatka, FL
  • NPI 1275057994

  Member Of

  NPD member

Locations

Practitioners 1

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

• Anand Mathai Kuruvilla, M.D.

  • Radiation Oncology Physician
  • Palatka, FL
  • NPI 1740246974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1881435030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160219",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160219",
            "telephone_number": "770-693-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773811",
            "telephone_number": "386-325-8140",
            "fax_number": "904-350-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURUVILLA ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "KURUVILLA",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "386-325-8140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiva of Palatka, LLC
• Patricia Kowalchuk, OTA/L
• Michelle Kowalski
• Janice Marie Krabbe, MD
• Ramesh Kumar, MD
• Anand Mathai Kuruvilla, M.D.
• Sarinity Labrew
• Bobby R Lafferty, DO
• Kaitlyn Lahart
• Dawn K. Laido, RPH

• Radiation Oncology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.