Individual provider Active NPI

Virosh Dharmadasa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cypress, TX
National Provider Identifier
1568070258
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692036 Issued in TX
Practice address
9740 Barker Cypress Road
Ste 108B
Cypress, TX 77433-7886
Phone
(281) 550-3338
Fax
(281) 550-3436
NPI assigned
Jul 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 692036 TX Primary

Addresses

Primary practice location

9740 Barker Cypress Road
Ste 108B
Cypress, TX 77433-7886

Mailing address

9740 Barker Cypress Road
Ste 108B
Cypress, TX 77433-7886
Phone (281) 550-3338

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (917) 859-1334

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003172 TX Practitioner - Podiatry 4688035645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klass Medical LLCGroup PAC ID 1658762315, 3 clinicians

Practice addresses (Care Compare)

9740 Barker Cypress Rd
Suite 108B
Cypress, TX 77433-7886
Phone (281) 550-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
692036TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Foot and Ankle PLLC Foot & Ankle Surgery Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: virosh.dharmadasa.1@9280.direct.athenahealth.com
  • Direct secure messaging: virosh.dharmadasa.1@11939.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1568070258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 BARKER CYPRESS ROAD",
            "address_2": "STE 108B",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337886",
            "telephone_number": "281-550-3338",
            "fax_number": "281-550-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 BARKER CYPRESS ROAD",
            "address_2": "STE 108B",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337886",
            "telephone_number": "281-550-3338",
            "fax_number": "281-550-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "917-859-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARMADASA",
        "first_name": "VIROSH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.