Individual provider Active NPI

Dilrukshie Maria Kahatapitiya, NP

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1801964028
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024167158 Issued in VA
Practice address
850 Kempsville Rd Ste 200B
Norfolk, VA 23502-3920
Phone
(757) 261-5999
NPI assigned
Dec 4, 2006
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024167158 VA Primary

Addresses

Primary practice location

850 Kempsville Rd Ste 200B
Norfolk, VA 23502-3920

Mailing address

850 Kempsville Rd Ste 200B
Norfolk, VA 23502-3920
Phone (757) 261-5999

Other identifiers 2

IdentifierTypeStateIssuer
1801964028MedicaidVA
10019827NOtherVAOPTIMA/SENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000416 VA Practitioner - Nurse Practitioner 7113929993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

816 Independence Blvd
Suite 100
Virginia Beach, VA 23455-6010
Phone (757) 363-6848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167158VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 5, 2015 Accepting new patients
Cardiovascular Assoc LTD Past Accepting new patients
Cardiovascular Associates LTD Past Accepting new patients
Bayview Physician Services, PC Past Accepting new patients
Sentara Hospitals PastSince Nov 5, 2023 Accepting new patients

Locations

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

850 Kempsville Rd
Ste 200B
Norfolk, VA 23502
Phone (757) 261-5910

1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300

816 Independence Blvd
Ste 100
Virginia Beach, VA 23455
Phone (757) 363-6800

Interoperability endpoints

  • Direct secure messaging: dkahatapitiya150823@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1801964028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 200B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 200B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHATAPITIYA",
        "first_name": "DILRUKSHIE",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801964028",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "10019827N",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.