DR. ITALA MANOSHA WICKREMASINGHE MD
NPI 1508972050
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Dallas, TX

Q: What is Itala Wickremasinghe's NPI number?

The NPI number for Itala Wickremasinghe is 1508972050. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Itala Wickremasinghe's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Active since August 21, 2006PECOS Enrolled

4500 S LANCASTER RD, DALLAS, TX 75216(214) 857-1757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Itala Manosha Wickremasinghe Md NPPES

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

DR. ITALA MANOSHA WICKREMASINGHE MD (NPI 1508972050) is an individual spinal cord injury medicine provider in Dallas, Texas, licensed in California (92490) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508972050

Entity TypeIndividualFemale

Primary Taxonomy2081P0004X

Provider Legal NameDR. ITALA MANOSHA WICKREMASINGHECredential: MD

Location Address4500 S LANCASTER RDDallas, TX 75216-7167

Mailing Address8631 Clover Meadow DrDallas, TX 75243-7626 · (214) 553-9118

Phone(214) 857-1757

Sole ProprietorYes

Enumeration DateAugust 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508972050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0004X

License✔ Licensed in CA · 92490

Definition

A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

4500 S LANCASTER RD, Dallas, TX 75216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Itala Manosha Wickremasinghe Md 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.

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.

DALLAS VETERANS ADMINISTRATION MEDICAL CENTER

General Acute Care Hospital