Active NPI
Upulie Nawaratne, MD
- Pediatric Critical Care Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- S2852
- Practice address
- 6400 Fannin St
Houston, TX 77030-1521 - Phone
- (713) 500-6443
- NPI assigned
- Feb 1, 2008
- Last updated
- Nov 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 046155 | CT | |
| Pediatrics Physician | 208000000X | E-11454 | AR | |
| Pediatric Cardiology Physician | 2080P0202X | E-11454 | AR | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | S2852 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St
Houston, TX 77030-1521
Mailing address
1133 John Freeman Blvd # 205N
Houston, TX 77030-2809
Phone (713) 500-6443
Other practice location 1
80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418
Phone (203) 756-8021 ext. 3085
Other practice location 2
1 Childrens Way # 512-3
Little Rock, AR 72202
Phone (501) 364-1479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
6400 Fannin St
Houston, TX 77030
Phone (713) 704-4300
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- unawaratne@direct.wtbyhosp.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Hermann Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1114105038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 JOHN FREEMAN BLVD # 205N",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302809",
"telephone_number": "713-500-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-500-6443"
}
],
"practiceLocations": [
{
"address_1": "80 Phoenix Ave",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067021418",
"country_code": "US",
"telephone_number": "203-756-8021 x3085",
"fax_number": "203-596-9038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Way # 512-3",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "72202",
"country_code": "US",
"telephone_number": "501-364-1479",
"fax_number": "501-364-3667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAWARATNE",
"first_name": "UPULIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2020-11-27",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "046155",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-11454",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "AR",
"license": "E-11454",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "S2852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.