Individual provider Active NPI

Kumari K. Weeratunge, M.D.

  • Pediatrics Physician
  • Livingston, TX
National Provider Identifier
1689844243
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M9087 Issued in TX
Practice address
1401 Andover LN
Livingston, TX 77351-2685
Phone
(936) 327-8661
Fax
(936) 327-3131
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X M9087 TX
Pediatrics Physician 208000000X M9087 TX Primary

Addresses

Primary practice location

1401 Andover LN
Livingston, TX 77351-2685

Mailing address

204 W Park
Livingston, TX 77351-9336
Phone (936) 327-8661

Other identifiers 1

IdentifierTypeStateIssuer
193150303MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000515 TX Practitioner - Pediatric Medicine 4486839503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M9087TXMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Apr 9, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Apr 9, 2025 Accepting new patients
Hummingbird Pediatrics PLLC Pediatrics Past Accepting new patients
Sr Health Care PA Pediatrics Past Accepting new patients
Legacy Community Health Services, Inc Past Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

5616 Lawndale St
Ste A108
Houston, TX 77023
Phone (713) 759-0912

Interoperability endpoints

  • Direct secure messaging: drkweeratunge@eucl-tx.direct.office.nextgen.com

Organizations & group practices 5

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1689844243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W PARK",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519336",
            "telephone_number": "936-327-8661",
            "fax_number": "936-327-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ANDOVER LN",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512685",
            "telephone_number": "936-327-8661",
            "fax_number": "936-327-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERATUNGE",
        "first_name": "KUMARI",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "M9087",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193150303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.