Organization Active NPI

Dr. Shiranee Jayasooriya Inc

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1225067408
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DR. SHIRANEE JAYASOORIYA INC
Practice address
8224 W Charleston Blvd
Suite 2
Las Vegas, NV 89117-9096
Phone
(702) 869-6070
Fax
(702) 630-6080
NPI assigned
Jul 1, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Shiranee M. Jayasooriya, MDNPI 1437188513
Title
Physician
Phone
(702) 869-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NV Primary

Addresses

Primary practice location

8224 W Charleston Blvd
Suite 2
Las Vegas, NV 89117-9096

Mailing address

8224 W Charleston Blvd
Suite 2
Las Vegas, NV 89117-9096
Phone (702) 869-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040929000704 NV Part B Supplier - Clinic/Group Practice 8628047313 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20151204001534 SC Part B Supplier - Clinic/Group Practice 8628047313 Receives reassigned benefits from 3 practitioners
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

8224 W Charleston Blvd
Las Vegas, NV 89117

1795 Frank Gaston Blvd
Rock Hill, SC 29732
Phone (516) 849-8385

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1225067408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 W CHARLESTON BLVD",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179096",
            "telephone_number": "702-869-6070",
            "fax_number": "702-630-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 W CHARLESTON BLVD",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179096",
            "telephone_number": "702-869-6070",
            "fax_number": "702-630-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHIRANEE JAYASOORIYA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "JAYASOORIYA",
        "authorized_official_first_name": "SHIRANEE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-869-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.