IndividualActive

Basavaraj Kerur, MD

NPI 1871741181 · Pediatric Gastroenterology Physician · Worcester, MA

Provider details

NPI number: 1871741181
Entity type: Individual
Primary specialty: Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 249732 (MA)

Specialties & taxonomies

Pediatric Gastroenterology PhysicianPrimary2080P0206XLicense 249732 (MA)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 249732 (MA)
Allopathic & Osteopathic Physicians
Pediatric Gastroenterology Physician2080P0206XLicense MD14582 (RI)
Allopathic & Osteopathic Physicians
Hospitalist Physician208M00000XLicense 249732 (MA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

55 Lake Ave N

Worcester, MA 01655

Phone: (774) 441-8082

Fax: (774) 441-8056

Street-level locationGet directions

More MA providers

Mailing address

Po Box 415348

Boston, MA 02241-5348

Additional practice locations (1)

593 Eddy St
Mph 134, Hasbro Childrens Hospital
Providence, RI 02903-4923
Phone: (401) 444-8306

Enumerated: 2008-08-29
Last updated: 2020-11-04
Certified: 2020-11-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.