KURTIS CHARLES BIRUSINGH (MD) – Otolaryngology Physician, NPI 1114098092
Otolaryngology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for KURTIS CHARLES BIRUSINGH (MD)
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
4733 W Sunset Blvd
Los Angeles, CA 900276021
Phone: (323) 783-4011
Type: Location
2401 W University Ave
Muncie, IN 473033428
Phone: (765) 284-2172
Fax: (765) 448-7683
Type: Location
550 University Blvd
Indianapolis, IN 462025149
Phone: (765) 284-2172
Fax: (765) 448-7683
Type: Location
4733, West Sunset Boulevard, East Hollywood, Los Angeles, Los Angeles County, California, 90027, United States
LOS ANGELES, CA 900276021
Phone: (323) 783-4011
Type: Mailing
5165 MCCARTY LN
LAFAYETTE, IN 479058764
Phone: (765) 448-8000
Fax: (765) 448-7625
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081112000862 | I | Otolaryngology | CA | TBD |
| I20240829003355 | I | Otolaryngology | IN | TBD |
| I20240904002172 | I | Otolaryngology | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46219)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Internal Medicine | IN | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine, Hospitalist | IN | |
| U R O L O G Y | NC | |
| Nurse Practitioner | IN |
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