PRIYESH KURUP MD
NPI 1962685206
Hospitalist in Clinton, MD

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
7503 SURRATTS RD, CLINTON, MD 20735(301) 877-5567 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2023, Oct 4, 2015 (2 updates tracked since 2015).

About Priyesh Kurup Md NPPES

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

PRIYESH KURUP MD (NPI 1962685206) is an individual hospitalist provider in Clinton, Maryland, licensed in Maryland (D0077779) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1962685206
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRIYESH KURUPCredential: MD
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address7503 Surratts RdClinton, MD 20735-3358 · (301) 877-5566
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 10, 2007
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1962685206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MD · D0077779✔ Licensed in PA · MD435153
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD435153 (PA)
7503 SURRATTS RD, Clinton, MD 20735

Other Identifiers 6

Other212149PA · Johns Hopkins
Medicaid102200611PA
Other9176196PA · Aetna
Medicaid033824900MD
Other120274PA · Geisinger Health Plan
Other2065937PA · Highmark Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyesh Kurup Md 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 ID6305913849
PECOS Enrollment IDI20230420000431
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 Reassignments

3

Medicare enrollment records show Priyesh Kurup reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
13950 BRANDYWINE RD, SUITE 225
Brandywine, MD 20613
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Mgmc LLC
  • 861 clinicians in this Medicare group
Health Maintenance Organization
5100 AUTH WAY
Suitland, MD 20746
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1972275196 (Virginia)
  • 2,492 clinicians in this Medicare group
Internal Medicine
1145 19TH ST NW, SUITE 311
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$58.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Internal Medicine
7503 SURRATTS RD
CLINTON, MD 20735
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Nurse Practitioner (Critical Care Medicine)
7503 SURRATTS RD
CLINTON, MD 20735

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 Priyesh Kurup's NPI number?

The NPI number for Priyesh Kurup is 1962685206. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Priyesh Kurup located?

Priyesh Kurup practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 877-5567.

What is Priyesh Kurup's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Priyesh Kurup enrolled in Medicare?

Yes. Priyesh Kurup 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.

Which organizations bill Medicare for Priyesh Kurup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyesh Kurup reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Brandywine, MD), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Suitland, MD) and Medstar Medical Group II LLC (Washington, DC). Each 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 Priyesh Kurup'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 Priyesh Kurup was last updated on February 21, 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.