Individual provider Active NPI

Ranjith Wijeratne, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1376745356
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.143467 Issued in OH
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

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
94783551MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwijeratne123002@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221024001797 OH Practitioner - Gastroenterology 2961564604 Reassigns benefits to 1 organization
I20231002001297 KY Practitioner - Gastroenterology 2961564604 Reassigns benefits to 1 organization
I20251222001175 GA Practitioner - Gastroenterology 2961564604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians

Practice addresses (Care Compare)

112 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 227-0045

Hospital & facility affiliations

  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Upper gastrointestinal (GI) endoscopy for acid reflux129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94092CAMDInternal Medicine Physician
MD2011-0752NMMDGastroenterology Physician
66417WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group, Inc. CurrentSince Sep 14, 2023 Accepting new patients
Trihealth H LLC Gastroenterology CurrentSince Jul 13, 2022 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Archbold Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Sep 14, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.