Individual provider Active NPI

Rajitha L Premaratne, M.D.

  • Rheumatology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1497965594
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
46348 Issued in AZ
Practice address
2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874
Phone
(928) 680-4255
Fax
(928) 680-4256
NPI assigned
May 23, 2007
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MO# 2006014659 MO
Rheumatology Physician 207RR0500X 46348 AZ Primary

Addresses

Primary practice location

2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874

Mailing address

2005 Injo Dr Ste 102
Lake Havasu City, AZ 86403-5874
Phone (928) 680-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20121017000969 AZ Practitioner - RheumatologyPractitioner - Internal Medicine 8325298805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2005 Injo Dr
Suite 102
Lake Havasu City, AZ 86403-5874
Phone (928) 680-4255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as individual
Quality
87.51
Promoting interoperability
87
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MO# 2006014659MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology & Arthritis Consultants, PLLC Internal Medicine CurrentSince Aug 15, 2012 Accepting new patients

Locations

2501 N Stockton Hill Rd
Kingman, AZ 86401

1720 Mesquite Ave
Ste 201
Lk Havasu Cty, AZ 86403
Phone (928) 680-4255

1980 Mesquite Ave
Ste 103
Lk Havasu Cty, AZ 86403
Phone (928) 680-4255

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4821/brand/1/csg/1/fhir/r4
  • Direct secure messaging: imy8584@yourcarecommunity.org
  • Direct secure messaging: rajitha.premaratne.1@4821.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1497965594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 INJO DR STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "928-680-4255",
            "fax_number": "928-680-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 INJO DR STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035874",
            "telephone_number": "928-680-4255",
            "fax_number": "928-680-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMARATNE",
        "first_name": "RAJITHA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MO# 2006014659",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "46348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.