{"npi":"1255536181","type":"NPI-1","status":"active","name":{"display":"Dr. Cyril Kuriakose MD","other":[],"first":"CYRIL","last":"KURIAKOSE","credential":"MD"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":false,"state":"WA","license":"MD60279943"},{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":"OR","license":"MD209095"},{"code":"207RN0300X","description":"Nephrology Physician","primary":false,"state":"FL","license":"ME115421"},{"code":"207RN0300X","description":"Nephrology Physician","primary":false,"state":"MT","license":"MED-PHYS-COM-LIC-145"}]},"addresses":[{"purpose":"LOCATION","street_1":"19300 SW 65TH AVE","city":"TUALATIN","state":"OR","postal_code":"970627706","country_code":"US","phone":"5036921212"},{"purpose":"MAILING","street_1":"1130 NW 22ND AVE STE 640","city":"PORTLAND","state":"OR","postal_code":"972105488","country_code":"US","phone":"5032297976","fax":"5032744867"}],"license":{"state":"OR","number":"MD209095"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1255536181","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"EIN","state":"FL","issuer":"591561574"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120719000641","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"WA","pac_id":"2062683725"},{"enrlmt_id":"I20130605000369","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"FL","pac_id":"2062683725"},{"enrlmt_id":"I20230424000746","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"OR","pac_id":"2062683725"},{"enrlmt_id":"I20241113001519","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"ND","pac_id":"2062683725"},{"enrlmt_id":"I20250108002865","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"MT","pac_id":"2062683725"},{"enrlmt_id":"I20250620000702","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"ID","pac_id":"2062683725"},{"enrlmt_id":"I20250701004753","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"NC","pac_id":"2062683725"},{"enrlmt_id":"I20250917001081","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"OK","pac_id":"2062683725"},{"enrlmt_id":"I20260303003381","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"AR","pac_id":"2062683725"}]},"enumeration_date":"2007-06-20","last_updated":"2026-03-30","_meta":{"source":"NPPES","snapshot_date":"2026-03-30","doc_url":"https://findmynpi.com/api"}}