Hira Amarasinghe, M.D.
Individual provider Active NPI Pediatrics Physician · Canton, MI
NPI 1154858769 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1154858769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301112051 (MI)
- Practice address
- 49650 Cherry Hill Rd Ste 210
Canton, MI 48187-4859 - Phone
- (734) 620-9993
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240907000343 | MI | Practitioner - Pediatric Medicine | 8123397494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
49650 Cherry Hill Rd
Ste 210
Canton, MI 48187
Phone (734) 398-7899
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
Interoperability endpoints
- hamarasinghe841936@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301112051 | MI | Yes |
Addresses
Primary practice location
49650 Cherry Hill Rd Ste 210
Canton, MI 48187-4859
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other providers in Canton, MI
- Wafa Altamam
- Bassel Altantawi
- Kelly Alter
- Summer Alwakya
- Daniel Chinthaka Amarasinghe
- American Home Care Physicians PLLS
- Amh Canton LLC
- Kothainayagi Anandhan
- Nancy Anastasi
- Alissa Anastasio
All providers in Canton, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.