NISHANI KURUPPU DPM
NPI 1225650781
Podiatrist - Foot & Ankle Surgery in Waldorf, MD

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
12070 OLD LINE CTR STE 110, WALDORF, MD 20602(301) 843-9581 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, May 7, 2020 (2 updates tracked since 2020).

About Nishani Kuruppu Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHANI KURUPPU DPM (NPI 1225650781) is an individual foot & ankle surgery provider in Waldorf, Maryland, licensed in Maryland (01763) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and maintains a secondary practice location in Waldorf.

NPPES Registry Identity

NPI1225650781
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameNISHANI KURUPPUCredential: DPM
Location Address12070 OLD LINE CTR STE 110Waldorf, MD 20602-2503
Mailing Address12070 Old Line Ctr Ste 110Waldorf, MD 20602-2503 · (301) 843-9581
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1225650781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MD · 01763
12070 OLD LINE CTR STE 110, Waldorf, MD 20602

Secondary Practice Location 1

Location 112070 Old Line Ctr Ste 110Waldorf, MD 20602-2503 · Phone (301) 843-9581 · Fax (301) 843-0921

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nishani Kuruppu Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032578745
PECOS Enrollment IDI20230628003515, I20230727002547
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,396 services694 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
812 services428 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
704 services367 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
411 services250 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
405 services225 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
266 services175 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
12070 OLD LINE CTR STE 110
WALDORF, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nishani Kuruppu's NPI number?

The NPI number for Nishani Kuruppu is 1225650781. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Nishani Kuruppu located?

Nishani Kuruppu practices at 12070 Old Line Ctr Ste 110, Waldorf, MD 20602. The listed phone number is (301) 843-9581.

What is Nishani Kuruppu's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nishani Kuruppu enrolled in Medicare?

Yes. Nishani Kuruppu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nishani Kuruppu affiliated with any hospitals?

According to CMS data, Nishani Kuruppu is affiliated with University Of MD Charles Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nishani Kuruppu was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.