Individual provider Active NPI

Priyantha Herath, MD PHD

  • Neurology Physician
  • Cambridge, MA
National Provider Identifier
1013185115
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
292850 Issued in MA
Practice address
675 W Kendall St
Cambridge, MA 02142-1168
Phone
(202) 997-0390
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 292850 MA Primary

Addresses

Primary practice location

675 W Kendall St
Cambridge, MA 02142-1168

Mailing address

675 W Kendall St
Cambridge, MA 02142-1168
Phone (202) 997-0390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714000803 SC Practitioner - Neurology 0749364537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
292850MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Aug 14, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Neurology CurrentSince Aug 14, 2016 Accepting new patients
University Specialty Clinics - Ophthalmology Past Accepting new patients

Locations

8 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-8050

8 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 254-5038

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1013185115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W KENDALL ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421168",
            "telephone_number": "202-997-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W KENDALL ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421168",
            "telephone_number": "202-997-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERATH",
        "first_name": "PRIYANTHA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "292850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.