Ishan A Gunawardene, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81674 Issued in FL

Practice address

3347 State Road 7
Suite-206
Wellington, FL 33467-0000

Phone

(561) 537-4820

Fax

(561) 434-3169

NPI assigned

Jul 22, 2006

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Medical Clinic P aGroup PAC ID 3274553912, 2 clinicians

Ehs at Lakeside LLCGroup PAC ID 6901146067, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeside Medical Center Hospital, Belle Glade, FL, CCN 100130
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCCIAA/Endpoint/GCCIAA
• Direct secure messaging: igunawardene273583@mhsdirect.net
• Direct secure messaging: ishan_gunawardene_md@yourcarecommunity.org

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.

• Advanced Medical Clinic P.a

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1447413794
  Medicare reassignment Care Compare group NPD Authorized official
• Ehs at Lakeside LLC

  • Hospitalist Physician
  • Belle Glade, FL
  • NPI 1275018673
  Medicare reassignment Care Compare group NPD
• Eastside Hospitalists Inc

  • Hospitalist Physician
  • Hollywood, FL
  • NPI 1285676957
  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL

  Medicare reassignment NPD
• Advanced Medical Clinic PA

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1891243143
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• District Hospital Holdings Inc

  dba Lakeside Medical Center

  • Rural Acute Care Hospital
  • Belle Glade, FL
  • NPI 1801885413
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1265453245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE-206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334670000",
            "telephone_number": "561-537-4820",
            "fax_number": "561-434-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE-206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334670000",
            "telephone_number": "561-537-4820",
            "fax_number": "561-434-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAWARDENE",
        "first_name": "ISHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260777800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Monitors
• Jennifer E Guest, ED.S.
• Guidewell Sanitas I, LLC
• Guiding Light Wellness Center LLC
• Mario F Guillen, MD
• Shariffa Gunawardene, ARNP
• Cesar Alonso Gutierrez, COTA
• Andrew Guvetis, PHARMD
• Tatiana Habanova, DC, DACNB
• Bruce Martin Haberman, D.C.

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.