Individual provider Active NPI

Robin K Kuriakose, MD

  • Ophthalmology Physician
  • Hayward, CA
National Provider Identifier
1902302359
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A163776 Issued in CA
Practice address
1237 B St
Hayward, CA 94541-2915
Phone
(510) 886-5497
Fax
(510) 886-4465
NPI assigned
Apr 4, 2018
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036159615 IL
Ophthalmology Physician 207W00000X A163776 CA Primary

Addresses

Primary practice location

1237 B St
Hayward, CA 94541-2915

Mailing address

1237 B St
Hayward, CA 94541-2915
Phone (510) 886-5497

Other practice location 1

259 E Erie St Ste 1520
Chicago, IL 60611-3111
Phone (312) 695-8150

Other practice location 2

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230725003696 CA Practitioner - Ophthalmology 9335529288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Ophthalmic Medical Associates IncGroup PAC ID 5890766869, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

1237 B St
Hayward, CA 94541-2915
Phone (510) 886-5497

Merit-based Incentive Payment System (MIPS)

Final score
95.23 of 100Reported as group
Quality
90.82
Improvement activities
40
Cost
79.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163776CAMDOphthalmology Physician
036159615ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Ophthalmic Medical Associates, Inc Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Optima Ophthalmic Medical Associates Inc CurrentSince Aug 1, 2023 Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients

Locations

1229 B St
Hayward, CA 94541

1237 B St
Hayward, CA 94541
Phone (510) 886-3937

455 Oconnor Dr
Ste 360
San Jose, CA 95128
Phone (408) 358-9741

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rkuriakose663795@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1902302359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412915",
            "telephone_number": "510-886-5497",
            "fax_number": "510-886-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412915",
            "telephone_number": "510-886-5497",
            "fax_number": "510-886-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 E Erie St Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113111",
            "country_code": "US",
            "telephone_number": "312-695-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAKOSE",
        "first_name": "ROBIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036159615",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A163776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.