Individual provider Active NPI

Malitha Samanthika Hettiarachchi, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1295003564
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301092203 Issued in MI
Practice address
26677 W 12 Mile Rd # B6
Southfield, MI 48034-1514
Phone
(248) 354-4709
Fax
(248) 354-4807
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301092203 MI Primary

Addresses

Primary practice location

26677 W 12 Mile Rd # B6
Southfield, MI 48034-1514

Mailing address

PO Box 674147
Detroit, MI 48267-4147
Phone (248) 354-4709

Other names 1

  • Eriware Mahadurage Hettiarachchi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CT, VA, TX, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120501000169 MI Practitioner - Internal Medicine 3870755234 Reassigns benefits to 2 organizations
I20250404000644 CT Practitioner - Internal Medicine 3870755234 Reassigns benefits to 1 organization
I20250603001063 VA Practitioner - Internal Medicine 3870755234 Reassigns benefits to 1 organization
I20250821004468 TX Practitioner - Internal Medicine 3870755234 Reassigns benefits to 1 organization
I20251231002803 GA Practitioner - Internal Medicine 3870755234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic Internal Medicine Specialists PLLCGroup PAC ID 8123121969, 19 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1721 S Stephenson Ave
Dickinson County Healthcare System
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

580 W College Ave
Up Health System
Marquette, MI 49855-2736
Phone (906) 228-9440

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

608 N Key Ave
Lampasas, TX 76550-1106
Phone (512) 556-3682

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.87 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Mar 21, 2025 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Oct 23, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 9, 2025 Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine CurrentSince Nov 9, 2011 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Jan 31, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

28411 Northwestern Hwy
Ste 1050
Southfield, MI 48034
Phone (248) 354-4709

26677 W 12 Mile Rd
Ste B6
Southfield, MI 48034

26677 W 12 Mile Rd
#B6
Southfield, MI 48034
Phone (248) 354-4709

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: malitha.hettiarachchi@wh.jhie.net
  • Direct secure messaging: ehettiarachchi63430@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1295003564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674147",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674147",
            "telephone_number": "248-354-4709",
            "fax_number": "248-354-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD # B6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "248-354-4709",
            "fax_number": "248-354-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTIARACHCHI",
        "first_name": "MALITHA",
        "middle_name": "SAMANTHIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIWARE",
            "last_name": "HETTIARACHCHI",
            "middle_name": "MAHADURAGE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.