Don Anton Dayantha Wisidagama, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113883 Issued in FL

Practice address

725 Rodel CV
Lake Mary, FL 32746-4859

Phone

(407) 302-3130

Fax

(407) 302-3132

NPI assigned

Nov 22, 2018

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 NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: don.wisidagama.1@24989.direct.athenahealth.com

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.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment Care Compare group NPD
• Orlando Physicians Network Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1568693554
  Medicare reassignment Care Compare group NPD
• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905
  Medicare reassignment Care Compare group
• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Jensen Beach, FL
  • NPI 1992791198
  Medicare reassignment
• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment
• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment
• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Okeechobee, FL
  • NPI 1528455847
  NPD
• Heathrow Internal Medicine LLC

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1033387865
  NPD (past)
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1780342618
  NPD (past)
• Pharma Holding Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Rockland Medical Group, PLLC

  • Internal Medicine Physician
  • Garnerville, NY
  • NPI 1336172501
  NPD (past)

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1437628260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Sumner Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012835",
            "country_code": "US",
            "telephone_number": "347-636-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISIDAGAMA",
        "first_name": "DON",
        "middle_name": "ANTON DAYANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-22",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113883",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Wilson
• Tracy Marie Wilson
• Kevin Anthony Wiltz II, PHARMD
• Sheila Wirnowski, M.A., CCC-SLP
• Jada Kay Wishropp
• Jacquelynn Witnauer, APRN
• Charles N Witten, MD
• Tisha Witty, CNA
• Lori Wolfgang
• Isabel Grace Wolfinger

• Medical Physician Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.