Individual provider Active NPI

Don Walter Kannangara, M.D..

  • Infectious Disease Physician
  • Bethlehem, PA
National Provider Identifier
1851385991
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD019081E Issued in PA
Practice address
2750 Bridle Path PL
Bethlehem, PA 18017-3804
Phone
(610) 778-2154
Fax
(610) 317-9449
NPI assigned
Sep 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD019081E PA Primary

Addresses

Primary practice location

2750 Bridle Path PL
Bethlehem, PA 18017-3804

Mailing address

2750 Bridle Path PL
Bethlehem, PA 18017-3804
Phone (610) 778-2154

Other identifiers 5

IdentifierTypeStateIssuer
0007985050001MedicaidPA
D06692200OtherNJCDS REGISTRATION
MD019081EOtherPALICENSE
25MA06232100OtherNJLICENSE
A33402OtherCALICENSE

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

LicenseStateTypeSpecialty
MD019081EPAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851385991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BRIDLE PATH PL",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173804",
            "telephone_number": "610-778-2154",
            "fax_number": "610-317-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BRIDLE PATH PL",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173804",
            "telephone_number": "610-778-2154",
            "fax_number": "610-317-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNANGARA",
        "first_name": "DON",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD019081E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007985050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS REGISTRATION",
            "identifier": "D06692200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD019081E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA06232100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A33402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.