Active NPI
Kavita Liyanage
- Physician Assistant
- Dallas, TX
National Provider Identifier
1730026212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20305
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2088 - Phone
- (214) 820-0111
- NPI assigned
- May 1, 2026
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20305 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 1244784 | TX |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2088
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1244784 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1730026212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088",
"telephone_number": "214-820-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIYANAGE",
"first_name": "KAVITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA20305",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "1244784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.