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DR. KATHIRGAMATHAS KURUNATHAPILLAI M.D.
NPI 1730112012
Internal Medicine in North Haledon, NJ

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
886 BELMONT AVE UNIT C2, NORTH HALEDON, NJ 07508(973) 333-5857(201) 465-3225 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathirgamathas Kurunathapillai M.d. NPPES

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

DR. KATHIRGAMATHAS KURUNATHAPILLAI M.D. (NPI 1730112012) is an individual internal medicine provider in North Haledon, New Jersey, licensed in New Jersey (25MA08812800) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1730112012
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHIRGAMATHAS KURUNATHAPILLAICredential: M.D.
Location Address886 BELMONT AVE UNIT C2North Haledon, NJ 07508-2573
Mailing AddressPo Box 425Mahwah, NJ 07430-0425 · (845) 901-7487
Phone(973) 333-5857
Fax(201) 465-3225
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1730112012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08812800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
886 BELMONT AVE UNIT C2, North Haledon, NJ 07508
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Other Identifiers 2

Medicaid0235024NJ
Medicaid02878673NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Kathirgamathas Kurunathapillai M.d. 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 ID4880666981
PECOS Enrollment IDI20130201000188
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 10

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.

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
1,512 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
766 services105 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
615 services87 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
190 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
161 services15 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
112 services82 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07508 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathirgamathas Kurunathapillai's NPI number?

The NPI number for Kathirgamathas Kurunathapillai is 1730112012. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Kathirgamathas Kurunathapillai located?

Kathirgamathas Kurunathapillai practices at 886 Belmont Ave Unit C2, North Haledon, NJ 07508. The listed phone number is (973) 333-5857.

What is Kathirgamathas Kurunathapillai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathirgamathas Kurunathapillai enrolled in Medicare?

Yes. Kathirgamathas Kurunathapillai 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 Kathirgamathas Kurunathapillai accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kathirgamathas Kurunathapillai 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 Kathirgamathas Kurunathapillai affiliated with any hospitals?

According to CMS data, Kathirgamathas Kurunathapillai is affiliated with St Joseph's University Medical Center Inc and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Kathirgamathas Kurunathapillai was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.