Active NPI
Gunasiri Samarasinghe, M.D.
- Pain Medicine (Anesthesiology) Physician
- Roanoke, VA
National Provider Identifier
1225064512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- VA0101055071
- Practice address
- 5372 Fallowater LN
Suitea
Roanoke, VA 24018-0903 - Phone
- (540) 725-7364
- Fax
- (540) 725-7368
- NPI assigned
- Jun 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | VA0101055071 | VA | Primary |
Addresses
Primary practice location
5372 Fallowater LN
Suitea
Roanoke, VA 24018-0903
Mailing address
5709 Longridge Cir
Roanoke, VA 24018-7891
Phone (540) 725-7364
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265113 | Other | VA | BC/BS PROVIDER# |
| 8598117002 | Other | VA | CIGNA HMO PROVIDER# |
| 050069396 | Other | VA | MC RR |
| 5715547 | Medicaid | VA | |
| VA0050975 | Other | VA | TRICARE PROVIDER# |
| 700021567 | Other | VA | CIGNA PROVIDER# |
| 150668800 | Other | VA | US DEPT OF LABOR PROVIDER |
| TN0101 | Other | VA | JOHN DEERE PROVIDER# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0101055071 | VA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pain Center Inc. | Pain Medicine | Past | Accepting new patients |
| Comprehensive Pain Management Centers Inc. | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Roanoke, VA
- NPI 1750468666
-
- Pain Medicine (Anesthesiology) Physician
- Roanoke, VA
- NPI 1194952291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225064512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 LONGRIDGE CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240187891",
"telephone_number": "540-725-7364",
"fax_number": "540-725-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5372 FALLOWATER LN",
"address_2": "SUITEA",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180903",
"telephone_number": "540-725-7364",
"fax_number": "540-725-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMARASINGHE",
"first_name": "GUNASIRI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "VA0101055071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER#",
"identifier": "265113",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO PROVIDER#",
"identifier": "8598117002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RR",
"identifier": "050069396",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5715547",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER#",
"identifier": "VA0050975",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER#",
"identifier": "700021567",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR PROVIDER",
"identifier": "150668800",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER#",
"identifier": "TN0101",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.