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
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0047120 MD Primary

Addresses

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

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.

Enrollment records 1

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

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 LLCGroup PAC ID 4587727771, 3 clinicians
Center for Brain and Neurocare LLCGroup PAC ID 9335458371, 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

National Provider Directory

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

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
Carroll County Anesthesia Associates, PA Past Accepting new patients
Pain Management Associates of Maryland, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

7625 Maple Lawn Blvd
Ste 100
Fulton, MD 20759
Phone (301) 900-6334

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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.