Suriya Bandara Jayawardena, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

201001417 Issued in NC

Practice address

3650 Cape Center Dr
Fayetteville, NC 28304-2139

Phone

(910) 483-0049

Fax

(910) 339-8905

NPI assigned

Oct 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Cardiovascular Disease (Cardiology)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rapid Care PLLCGroup PAC ID 1759654148, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBD/Endpoint/CFFDBD

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.

• Rapid Care PLLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1952830804
  Medicare reassignment Care Compare group NPD Authorized official
• Cardinal Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Sanford, NC
  • NPI 1164952446
  Medicare reassignment NPD Authorized official
• Rapid Care PLLC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1518883511
  NPD (past) Authorized official

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

• DLP Central Carolina Medical Center LLC

  dba Central Carolina Hospital

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1336338268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042139",
            "telephone_number": "910-483-0049",
            "fax_number": "910-339-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042139",
            "telephone_number": "910-483-0049",
            "fax_number": "910-339-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAWARDENA",
        "first_name": "SURIYA",
        "middle_name": "BANDARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "201001417",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "201001417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katasha Jarrin, FNP
• Paula Faye Jarvies, PTA
• Alexis Jarvis
• Seth Liam Jaussen, PA-C
• Rayyanoor Jawad, DO
• JBV Anesthesiology Associates, PLLC
• Samille Jean-Pierre, MD
• Jeans Rest Home
• Sriuma Jearanai, PHARM.D.
• Amber Michelle Jefferson, PHARMD

• Interventional Cardiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Interventional Cardiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.