Active NPI
Ruvini Wijetilaka, M.D
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1194003582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 295042
- Practice address
- 99 John St
New York, NY 10038-2903 - Phone
- (201) 747-1141
- Fax
- (646) 396-5651
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD459542 | PA | |
| Internal Medicine Physician | 207R00000X | 295042 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 181453 | CA |
Addresses
Primary practice location
99 John St
New York, NY 10038-2903
Mailing address
99 John St
New York, NY 10038-2903
Phone (201) 747-1141
Other practice location 1
8550 Santa Monica Blvd Fl 2
West Hollywood, CA 90069-4496
Phone (833) 447-2775
Other practice location 2
126 5th Ave
New York, NY 10011-5606
Phone (833) 477-2775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181453 | CA | MD | Internal Medicine Physician |
| MD459542 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parsley Medical PC | Past | Accepting new patients | |
| Infinite Wellness Medical PC | Past | Accepting new patients | |
| Parsley Medical PLLC | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Pharmacy
- New York, NY
- NPI 1548914351
-
- Family Medicine Physician
- New York, NY
- NPI 1053825893
-
- General Practice Physician
- New York, NY
- NPI 1962074435
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Internal Medicine
-
- General Practice Physician
- West Hollywood, CA
- NPI 1952973422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1194003582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JOHN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382903",
"telephone_number": "201-747-1141",
"fax_number": "646-396-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 JOHN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382903",
"telephone_number": "201-747-1141",
"fax_number": "646-396-5651"
}
],
"practiceLocations": [
{
"address_1": "8550 Santa Monica Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900694496",
"country_code": "US",
"telephone_number": "833-447-2775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100115606",
"country_code": "US",
"telephone_number": "833-477-2775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIJETILAKA",
"first_name": "RUVINI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD459542",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "295042",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "181453",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.