KUSHANTHI SURINI SAMARATUNGE PSYD
NPI 1265605133
Psychologist in Tigard, OR

Active since April 10, 2008PECOS Enrolled
7455 SW BEVELAND RD, TIGARD, OR 97223(503) 624-2600(503) 624-7752 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kushanthi Surini Samaratunge Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUSHANTHI SURINI SAMARATUNGE PSYD (NPI 1265605133) is an individual psychologist in Tigard, Oregon, licensed in Oregon (2628) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265605133
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKUSHANTHI SURINI SAMARATUNGECredential: PSYD
Location Address7455 SW BEVELAND RDTigard, OR 97223-8610
Mailing Address7455 Sw Beveland RdTigard, OR 97223-8610 · (503) 624-2600 · Fax (503) 624-7752
Fax(503) 624-7752
Sole ProprietorNo
Enumeration DateApril 10, 2008
Last NPPES UpdateJuly 22, 2015
✔ NPI 1265605133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OR · 2628
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7455 SW BEVELAND RD, Tigard, OR 97223

Other Identifiers 1

Medicaid210855OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kushanthi Surini Samaratunge Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kushanthi Samaratunge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
7455 SW BEVELAND RD
TIGARD, OR 97223
Naturopath
7455 SW BEVELAND RD
TIGARD, OR 97223
Counselor (Professional)
7455 SW BEVELAND RD
TIGARD, OR 97223
Naturopath
7455 SW BEVELAND RD
TIGARD, OR 97223
Psychologist
7455 SW BEVELAND RD
TIGARD, OR 97223
Marriage & Family Therapist
7455 SW BEVELAND RD
TIGARD, OR 97223
Behavior Analyst
7455 SW BEVELAND RD
TIGARD, OR 97223
Counselor (Mental Health)
7455 SW BEVELAND RD
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kushanthi Samaratunge's NPI number?

The NPI number for Kushanthi Samaratunge is 1265605133. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Kushanthi Samaratunge located?

Kushanthi Samaratunge practices at 7455 SW Beveland Rd, Tigard, OR 97223. The listed phone number is (503) 624-2600.

What is Kushanthi Samaratunge's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kushanthi Samaratunge enrolled in Medicare?

Yes. Kushanthi Samaratunge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kushanthi Samaratunge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kushanthi Samaratunge reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kushanthi Samaratunge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kushanthi Samaratunge accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kushanthi Samaratunge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kushanthi Samaratunge was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.