Organization Active NPI

Rheumatology & Arthritis Consultants, PLLC

  • Rheumatology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1023371622
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RHEUMATOLOGY & ARTHRITIS CONSULTANTS, PLLC
Practice address
2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874
Phone
(928) 680-4255
Fax
(928) 680-4256
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Rajithia Laleendra Premaratne, MD
Title
Physician/Owner
Phone
(928) 680-4255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874

Mailing address

2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874
Phone (928) 680-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000956 AZ Part B Supplier - Clinic/Group Practice 5890945372 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Havasu City, AZ

National Provider Directory

National Provider Directory

Locations

1720 Mesquite Ave
Ste 201
Lk Havasu Cty, AZ 86403
Phone (928) 680-4255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4821/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1023371622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 INJO DR STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "928-680-4255",
            "fax_number": "928-680-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 INJO DR STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "928-680-4255",
            "fax_number": "928-680-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY & ARTHRITIS CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "PREMARATNE",
        "authorized_official_first_name": "RAJITHIA",
        "authorized_official_middle_name": "LALEENDRA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "928-680-4255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.