Active NPI
Ranjith Wijeratne, M.D.
- Gastroenterology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.143467
- Practice address
- 3219 Clifton Ave
Cincinnati, OH 45220-3027 - Phone
- (513) 853-9333
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 63671 | MN | |
| Internal Medicine Physician | 207R00000X | A94092 | CA | |
| Gastroenterology Physician | 207RG0100X | MD2011-0752 | NM | |
| Gastroenterology Physician | 207RG0100X | 66417 | WI | |
| Gastroenterology Physician | 207RG0100X | C1843 | KY | |
| Gastroenterology Physician | 207RG0100X | 35.143467 | OH | Primary |
Addresses
Primary practice location
3219 Clifton Ave
Cincinnati, OH 45220-3027
Mailing address
3219 Clifton Ave
Cincinnati, OH 45220-3027
Phone (513) 853-9333
Other practice location 1
3300 Oakdale Ave N
Robbinsdale, MN 55422-2900
Phone (763) 581-5900
Other practice location 2
1301 Pleasant Valley Rd Ste 401
Owensboro, KY 42303-9774
Phone (270) 417-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94783551 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwijeratne123002@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 227-0045
Hospital & facility affiliations
- Archbold Memorial Hospital
- Owensboro Health Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94092 | CA | MD | Internal Medicine Physician |
| MD2011-0752 | NM | MD | Gastroenterology Physician |
| 66417 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Trihealth H LLC | Gastroenterology | Current | Accepting new patients |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Internal Medicine | Past | Accepting new patients |
Locations
947 S Broad St
Thomasville, GA 31792
Phone (229) 228-3731
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
112 Mimosa Dr
Thomasville, GA 31792
Phone (229) 227-0045
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1301 Pleasant Valley Rd
Ste 401
Owensboro, KY 42303
Phone (270) 417-7800
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
3219 Clifton Ave
Cincinnati, OH 45220
Phone (513) 246-2343
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
Interoperability endpoints
- ranjith.wijeratne@avera.sdhealthlink.net
Organizations & group practices 7
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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Cardiovascular Disease Physician
- Greenville, KY
- NPI 1457749582
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1376745356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-853-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-853-9333"
}
],
"practiceLocations": [
{
"address_1": "3300 Oakdale Ave N",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222900",
"country_code": "US",
"telephone_number": "763-581-5900",
"fax_number": "763-581-5901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pleasant Valley Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039774",
"country_code": "US",
"telephone_number": "270-417-7800",
"fax_number": "270-417-7809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIJERATNE",
"first_name": "RANJITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "63671",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94092",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD2011-0752",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "66417",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "C1843",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.143467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94783551",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwijeratne123002@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1301 Pleasant Valley Rd Ste 401",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.