Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nishani Kuruppu, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1225650781

Nishani Kuruppu, DPM is a Podiatry in Waldorf, Maryland. Graduated from Temple University School of Podiatric Medicine in 2020, 6 years ago. Practices with Southern Maryland Foot and Ankle LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Trained at
Temple University School of Podiatric Medicine
Licensed in
MD
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

12070 Old Line Ctr Ste 110
Waldorf, MD 20602-2503
Phone: (301) 843-9581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12070 Old Line Ctr Ste 110, Waldorf, MD 20602-2503 — (301) 843-9581

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 01763 (MD)

Record details

NPI number1225650781
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 7, 2020
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern Maryland Foot And Ankle Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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