Nishani Kuruppu, DPM in Waldorf, MD - Medicare Podiatrist Provider

Nishani Kuruppu, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Waldorf, Maryland. Her current practice location is 12070 Old Line Ctr Ste 110, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 843-9581.

Nishani Kuruppu is licensed to practice in Maryland (license number 01763) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225650781.

Contact Information

	Nishani Kuruppu, DPM
	12070 Old Line Ctr Ste 110, Waldorf, MD 20602-2503
	(301) 843-9581
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nishani Kuruppu
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	12070 Old Line Ctr Ste 110, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225650781
Provider Enumeration Date: 05/07/2020
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9032578745
Enrollment ID: I20230628003515

Medical Identifiers

Medical identifiers for Nishani Kuruppu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225650781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	01763 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nishani Kuruppu allows following entities to bill medicare on her behalf.

Provider Name	Larry S Hotchkiss Dpm Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285809715 PECOS PAC ID: 9830198928 Enrollment ID: O20061219000430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nishani Kuruppu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nishani Kuruppu, DPM 12070 Old Line Ctr Ste 110, Waldorf, MD 20602-2503 Ph: (301) 843-9581	Nishani Kuruppu, DPM 12070 Old Line Ctr Ste 110, Waldorf, MD 20602-2503 Ph: (301) 843-9581

Reviews and Comments

Podiatrist in Waldorf, MD

Dr. Bruce Allan Wenzel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602 Phone: 301-645-0366 Fax: 301-843-4773
Michael Edward Pearlman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12103 Old Line Ctr, Waldorf, MD 20602 Phone: 301-843-8058 Fax: 301-932-8621
Michael E Pearlman D.p.m., P.a. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12103 Old Line Ctr, Waldorf, MD 20602 Phone: 301-843-8058 Fax: 301-932-8621
Ccrab Associates, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602 Phone: 301-645-0366 Fax: 301-843-4773
Free State Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 50 Post Office Rd Ste 304, Waldorf, MD 20602 Phone: 202-258-4692
S. W. Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 177 Saint Patricks Dr Ste 101, Waldorf, MD 20603 Phone: 240-303-2901

Nishani Kuruppu, DPM - Medicare Podiatrist in Waldorf, MD