Active NPI
Malitha Samanthika Hettiarachchi, M.D.
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301092203
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CT, VA, TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Sinai-Grace Hospital
- Dickinson County Memorial Hospital
- Adventhealth Rollins Brook
- Marshfield Medical Center
- Manchester Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.87 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Academic Internal Medicine Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Connecticut, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | 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
- malitha.hettiarachchi@wh.jhie.net
- 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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1346398971
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Dickinson
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
dba AdventHealth Rollins Brook
- Critical Access Hospital
- Lampasas, TX
- NPI 1750392916
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.