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DR. MANJUMMELKUDIYIL P KURUVILLA MD
NPI 1790816510
Psychiatry & Neurology - Psychiatry in Bay Shore, NY

Active since March 07, 2007PECOS Enrolled
9 4TH AVE, BAY SHORE, NY 11706(631) 968-9102 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Manjummelkudiyil P Kuruvilla Md NPPES

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

DR. MANJUMMELKUDIYIL P KURUVILLA MD (NPI 1790816510) is an individual psychiatry provider in Bay Shore, New York, licensed in New York (128155-1) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790816510
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MANJUMMELKUDIYIL P KURUVILLACredential: MD
Location Address9 4TH AVEBay Shore, NY 11706-7908
Mailing Address15 Cedar Ridge LnDix Hills, NY 11746-7936 · (631) 968-9102
Phone(631) 968-9102
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateOctober 5, 2012
✔ NPI 1790816510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 128155-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9 4TH AVE, Bay Shore, NY 11706
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedK043K961NY
Medicare UPINB14114NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Manjummelkudiyil P Kuruvilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Manjummelkudiyil Kuruvilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Catherine Of Siena Medical Center
9.8 mi
General Acute Care Hospital
50 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 194 clinicians in this Medicare group
NPI 1154764819 (631) 862-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 11

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

SUSAN AIKEN NPP
Nurse Practitioner
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE
Clinic/Center (Mental Health (Including Community Mental Health Center))
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
MARIE GREEN RN
Registered Nurse
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 968-9102
ANTHONY A. PELOSI MD
Psychiatry & Neurology (Psychiatry)
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
MEGAN O'SHEA
Social Worker
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
ELIZABETH CURRAN
Nurse Practitioner (Psychiatric/Mental Health)
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
GLENN HOLT
Social Worker
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 665-6707
ANNMARIE SAGGIO RN
Registered Nurse
9 4TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 968-9102

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 Manjummelkudiyil Kuruvilla's NPI number?

The NPI number for Manjummelkudiyil Kuruvilla is 1790816510. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Manjummelkudiyil Kuruvilla located?

Manjummelkudiyil Kuruvilla practices at 9 4th Ave, Bay Shore, NY 11706. The listed phone number is (631) 968-9102.

What is Manjummelkudiyil Kuruvilla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Manjummelkudiyil Kuruvilla enrolled in Medicare?

Yes. Manjummelkudiyil Kuruvilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Manjummelkudiyil Kuruvilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manjummelkudiyil Kuruvilla reassigns Medicare benefits to St. Catherine Of Siena Medical Center (Smithtown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manjummelkudiyil Kuruvilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manjummelkudiyil Kuruvilla was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.