Individual provider Active NPI

Ruwani D.P. Gunawardane, M.D.

  • Neurology Physician
  • Fulton, MD
National Provider Identifier
1093780728
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0047119 Issued in MD
Practice address
7625 Maple Lawn Blvd
Suite 100
Fulton, MD 20759-2565
Phone
(301) 490-6085
Fax
(301) 490-3873
NPI assigned
Feb 17, 2006
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 D0047119 MD Primary

Addresses

Primary practice location

7625 Maple Lawn Blvd
Suite 100
Fulton, MD 20759-2565

Mailing address

10312 Castlefied Street
Ellicott City, MD 21042-5853
Phone (410) 465-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060201000048 MD Practitioner - NeurologyPractitioner - Internal Medicine 3274547062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Brain and Neurocare LLCGroup PAC ID 9335458371, 6 clinicians

Practice addresses (Care Compare)

7625 Maple Lawn Blvd
Suite 260
Fulton, MD 20759-2562

7625 Maple Lawn Blvd
Suite 260
Fulton, MD 20759-2565
Phone 3014903700208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.33 of 100Reported as individual
Quality
15
Improvement activities
40
Cost
81.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047119MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brain and Neurocare LLC Neurology CurrentSince Feb 19, 2015 Accepting new patients
Center for Brain and Neurocare LLC Neurology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7625 Maple Lawn Blvd
Ste 260
Fulton, MD 20759
Phone (301) 490-3700

Interoperability endpoints

  • Direct secure messaging: ruwanigunawardane@2511.securemail.prognocis.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1093780728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 CASTLEFIED STREET",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425853",
            "telephone_number": "410-465-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 100",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-490-6085",
            "fax_number": "301-490-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAWARDANE",
        "first_name": "RUWANI",
        "middle_name": "D.P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0047119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.