Central Texas Infectious Disease PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

M3110 Issued in TX

Legal business name

CENTRAL TEXAS INFECTIOUS DISEASE PA

Practice address

598 N Union Ave
Ste.350
New Braunfels, TX 78130-4136

Phone

(830) 625-5103

Fax

(512) 828-7984

NPI assigned

Nov 21, 2008

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chamalee N Weeratunge, MDNPI 1245274026

Title

Physician/Owner

Phone

(210) 771-9147

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Chamalee N Weeratunge Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chamalee Namal Weeratunge, M.D.

  • Infectious Disease Physician
  • New Braunfels, TX
  • NPI 1245274026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1386899029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786521090",
            "telephone_number": "210-771-9147",
            "fax_number": "512-828-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "STE.350",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304136",
            "telephone_number": "830-625-5103",
            "fax_number": "512-828-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS INFECTIOUS DISEASE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "WEERATUNGE",
        "authorized_official_first_name": "CHAMALEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-771-9147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0093NS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "M3110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00356308",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182468201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chamalee N Weeratunge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• CC Healthcare Systems, LLC (New Braunfels Rural Health Clinic)
• Khloe Renae Cedillo
• Celeste Ann Parker (Absolute Educational Services)
• Centerwell Pharmacy, Inc. (Humana Pharmacy, Inc.)
• Central Texas Allergy & Asthma, PA
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC (Hunter's Creek Pharmacy)
• Central Texas Pain Center, PLLC
• Kayla Cervantes
• Veronica Reyes Cervantes, PHD., LPC

• Infectious Disease Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.