Individual provider Active NPI

Subhashie Wijemanne, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1215190244
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P3440 Issued in TX
Practice address
6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Phone
(512) 241-1567
Fax
(512) 241-1685
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P3440 TX Primary

Addresses

Primary practice location

6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148

Mailing address

6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Phone (512) 241-1567

Other names 1

  • Dr. Subhashie Wijemanne Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000211 TX Practitioner - Neurology 6406091420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

12429 Scofield Farms Dr
Austin, TX 78758-2640
Phone (737) 932-6829

6618 Sitio del Rio Blvd
Suite D102
Austin, TX 78730-1148
Phone (512) 241-1567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parkinsons Restless Legs & Movement Disorder Specialists PLLC Neurology CurrentSince Oct 16, 2020 Accepting new patients
Baylor College of Medicine Neurology CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Family ENT of Georgetown PLLC PastSince Jun 1, 2020 Accepting new patients
St Davids Heart & Vascular, PLLC PastSince Sep 15, 2019 Accepting new patients
Baylor College of Medicine Neurology Past Accepting new patients

Locations

6618 Sitio del Rio Blvd
Ste D102
Austin, TX 78730
Phone (512) 241-1567

7200 Cambridge St
Ste 9A
Houston, TX 77030
Phone (713) 798-2273

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1215190244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-241-1567",
            "fax_number": "512-241-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-241-1567",
            "fax_number": "512-241-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJEMANNE",
        "first_name": "SUBHASHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBHASHIE",
            "last_name": "WIJEMANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.