Individual provider Active NPI

Vajira R. P. Gunawardane, MD

  • Specialist
  • Fulton, MD
National Provider Identifier
1447294269
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0047120 Issued in MD
Practice address
7625 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2562
Phone
(301) 490-6085
Fax
(301) 490-3873
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Pain and Spine Center LLC 3 clinicians
Center for Brain and Neurocare LLC 6 clinicians

Practice addresses (Care Compare)

200 Carroll Ave
Westminster, MD 21157
Phone (410) 848-3000

7625 Maple Lawn Blvd
Suite 110
Fulton, MD 20759-2565
Phone (301) 490-6085

826 Washington Rd
Suite 131
Westminster, MD 21157-5750
Phone (410) 751-7246

844 Washington Rd
Suite 207
Westminster, MD 21157-6664
Phone (410) 751-7246

Merit-based Incentive Payment System (MIPS)

Final score
62.1 of 100Reported as group
Quality
25
Improvement activities
40
Cost
73.67

Merit-based Incentive Payment System (MIPS)

Final score
59.58 of 100Reported as group
Quality
15
Improvement activities
40
Cost
78.61

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040505001692 MD Practitioner - Pain ManagementPractitioner - Anesthesiology 4688662778 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047120MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brain and Neurocare LLC CurrentSince Feb 19, 2015 Accepting new patients
Maryland Pain and Spine Center, L.L.C. CurrentSince Jan 1, 2009 Accepting new patients
Maryland Pain and Spine Center, L.L.C. CurrentSince Jan 1, 2009 Accepting new patients
Maryland Pain and Spine Center, LLC Current Accepting new patients
Pain Management Associates of Maryland, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carroll County Anesthesia Associates, PA Past Accepting new patients

Locations

7625 Maple Lawn Blvd
Ste 260
Fulton, MD 20759
Phone (301) 490-3700

7625 Maple Lawn Blvd
Fulton, MD 20759
Phone (240) 896-0750

7625 Maple Lawn Blvd
Ste 100
Fulton, MD 20759
Phone (301) 490-6085

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

291 Stoner Ave
Westminster, MD 21157
Phone (410) 871-6139

844 Washington Rd
Ste 207
Westminster, MD 21157
Phone (410) 751-7246

Interoperability endpoints

  • Direct secure messaging: vgunawardane@116.securemail.prognocis.com
  • Direct secure messaging: vajiragunawardane@2511.securemail.prognocis.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0047120 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

7625 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2562

Mailing address

7625 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2562
Phone (301) 490-6085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2019.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1447294269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 100",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592562",
            "telephone_number": "301-490-6085",
            "fax_number": "301-490-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 100",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592562",
            "telephone_number": "301-490-6085",
            "fax_number": "301-490-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAWARDANE",
        "first_name": "VAJIRA",
        "middle_name": "R. P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0047120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.