NPIMap

Individual provider Active NPI

Shiranee Jayasooriya, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1437188513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10522 Issued in NV
Practice address
8224 W Charleston Blvd
#2
Las Vegas, NV 89117-9096
Phone
(702) 869-6070
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10522 NV Primary

Addresses

Primary practice location

8224 W Charleston Blvd
#2
Las Vegas, NV 89117-9096

Mailing address

8224 W Charleston Blvd
#2
Las Vegas, NV 89117-9096
Phone (702) 869-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001613 SC Practitioner - Physical Medicine and Rehabilitation 7315916012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1795 Doctor Frank Gaston Blvd
Rock Hill, SC 29732-1190
Phone (803) 326-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Health Rehabilitation Hospital of Rock Hill, LLC Past Accepting new patients
Maity Medical Associates Inc Past Accepting new patients
Rehabilitation Specialist of Henderson Inc Physical Medicine & Rehabilitation Past Accepting new patients
Digestive Associates LLP Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437188513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 W CHARLESTON BLVD",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179096",
            "telephone_number": "702-869-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 W CHARLESTON BLVD",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179096",
            "telephone_number": "702-869-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASOORIYA",
        "first_name": "SHIRANEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "10522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.