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LIYA KURUVILLA PA-C
NPI 1629609706
Physician Assistant in Portland, OR

Active since January 28, 2020PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Mar 11, 2025, May 5, 2021 and 2 more (5 updates tracked since 2020).

About Liya Kuruvilla Pa-c NPPES

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

LIYA KURUVILLA PA-C (NPI 1629609706) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA226765) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629609706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLIYA KURUVILLACredential: PA-C
Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545
Mailing Address4400 Ne Halsey St Ste 102Portland, OR 97213-1545
Phone(503) 962-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 28, 2020
Last NPPES UpdateNovember 4, 20255 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1629609706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OR · PA226765✔ Licensed in IL · 085007334
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4400 NE HALSEY ST STE 102, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Other Name (5)Liya Lukose

Other Identifiers 1

Other085007334IL · Il Pa License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Liya Kuruvilla Pa-c 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 ID9739510561
PECOS Enrollment IDI20250325001906, I20251022004210
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services159 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
External shock to heart to regulate heart beat 92960
This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

CINDY M FULTON PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
JACQUELINE ANA LEVENE DO
Internal Medicine
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
SALEEMAH WAJEEDAH SMITH PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
KRISTIN H BOURRET PAC
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DALE DOUGLAS HIRSCH MD
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DR. JASON SHAWN BENSCH M.D.
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MR. SHANNON I LEWIS PA C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MS. NICOLE N RANSBOTTOM AGACNP
Nurse Practitioner (Acute Care)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000

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 Liya Kuruvilla's NPI number?

The NPI number for Liya Kuruvilla is 1629609706. It was assigned to this individual provider in the NPPES registry on January 28, 2020. The provider is also known as Liya Lukose.

Where is Liya Kuruvilla located?

Liya Kuruvilla practices at 4400 NE Halsey St Ste 102, Portland, OR 97213. The listed phone number is (503) 962-1000.

What is Liya Kuruvilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Liya Kuruvilla enrolled in Medicare?

Yes. Liya Kuruvilla 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.

What insurance does Liya Kuruvilla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Liya Kuruvilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Liya Kuruvilla affiliated with any hospitals?

According to CMS data, Liya Kuruvilla is affiliated with Providence Willamette Falls Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Liya Kuruvilla was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.