Active NPI
Ashton Senathi Wickramasinghe, MD
- Internal Medicine Physician
- Georgetown, TX
National Provider Identifier
1295927580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N7031
- Practice address
- 2423 Williams Dr
Georgetown, TX 78628-3200 - Phone
- (877) 800-5722
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD27713 | OR | |
| Internal Medicine Physician | 207R00000X | N7031 | TX | Primary |
Addresses
Primary practice location
2423 Williams Dr
Georgetown, TX 78628-3200
Mailing address
205 E University Ave
Suite 200
Georgetown, TX 78626-6814
Phone (512) 868-1124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2174294-01 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27713 | OR | MD | Internal Medicine Physician |
| N7031 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Internal Medicine | Past | Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| Health and Human Services Commission | Past | Accepting new patients | |
| Health and Human Services Commission | Past | Accepting new patients |
Locations
2203 W 35th St
Austin, TX 78703
Phone (512) 374-6065
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.
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Internal Medicine
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1295927580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE",
"address_2": "SUITE 200",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266814",
"telephone_number": "512-868-1124",
"fax_number": "512-868-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283200",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKRAMASINGHE",
"first_name": "ASHTON",
"middle_name": "SENATHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD27713",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N7031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2174294-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.