Kuruppunayake S Dharmasena, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

D17753 Issued in MD

Practice address

7845 Oakwood Rd Ste 103
Glen Burnie, MD 21061-4256

Phone

(410) 553-4182

Fax

(410) 553-4983

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kurupp S. Dharmasena Professional name

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1437180197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 103",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-553-4182",
            "fax_number": "410-553-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 103",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-553-4182",
            "fax_number": "410-553-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMASENA",
        "first_name": "KURUPPUNAYAKE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D17753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KURUPP",
            "last_name": "DHARMASENA",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Colleen Michele Devaney
• Sudhakar Venkata Lakshmi Devathi, M.D
• Theresa Eileen Deveaux, CRNP
• Ashley C Devinney
• Manjote Kaur Dhaliwal, D.D.S
• Maureen Helen Diaczok, R.N.
• Dialog Healthcare LLC
• Dialyze Direct MD, LLC
• Diamond Heared Industries
• Tiffany Dichiara, RPH

• Geriatric Medicine (Internal Medicine) Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.