Individual provider Active NPI

Moksha Ranasinghe, M.D.

  • Neurological Surgery Physician
  • Montebello, CA
National Provider Identifier
1003033374
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A129389 Issued in CA
Practice address
101 E Beverly Blvd Ste 404a
Montebello, CA 90640
Phone
(213) 369-4583
Fax
(866) 876-7956
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A129389 CA Primary
Neurological Surgery Physician 207T00000X MD438027 PA

Addresses

Primary practice location

101 E Beverly Blvd Ste 404a
Montebello, CA 90640

Mailing address

101 E Beverly Blvd Ste 404a
Montebello, CA 90640-4317
Phone (213) 369-4583

Other practice location 1

1245 Wilshire Blvd Ste 812
Los Angeles, CA 90017-4808
Phone (213) 369-4583

Other identifiers 1

IdentifierTypeStateIssuer
CB235128OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003001846 CA Practitioner - Neurosurgery 0244400505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 404a
Montebello, CA 90640-4317
Phone (213) 369-4583

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion84
Laminectomy or laminotomy (partial removal of spine bones)43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
129389CAMDClinical Social Worker
A129389CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Hospital Corporation Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: moksha.ranasinghe.1@18803.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1003033374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 404A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 404A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Wilshire Blvd Ste 812",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174808",
            "country_code": "US",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANASINGHE",
        "first_name": "MOKSHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A129389",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD438027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB235128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.