Active NPI
Lalith Wijayasuriya, MD
- Diagnostic Radiology Physician
- Lafayette, LA
National Provider Identifier
1598753964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5456R
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (337) 261-2697
- NPI assigned
- Oct 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5456R | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 53127
Lafayette, LA 70505-3127
Phone (337) 261-2697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5M176 | Medicaid | LA | |
| 1312207 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5456R | LA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598753964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53127",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053127",
"telephone_number": "337-261-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "337-261-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIJAYASURIYA",
"first_name": "LALITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "5456R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5M176",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1312207",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.