Prasani Nilwala Jayatilake, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301075100 Issued in MI

Practice address

13210 E Jefferson Ave
Detroit, MI 48215-2704

Phone

(313) 335-3444

NPI assigned

May 12, 2006

Last updated

Sep 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD
• Direct secure messaging: pjayatilake619573@direct.hfhs.org

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.

• The Wellness Plan Medical Centers

  dba The Wellness Plan

  • Clinic/Center
  • Detroit, MI
  • NPI 1043373244
  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan, PLLC

  dba Dedicated Senior Medical Center

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393

  MI

  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan PLLC

  dba Dedicated Senior Medical Center Detroit East

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD
• The Wellness Plan Medical Centers

  dba The Wellness Plan-Keys Grace Clinic

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, MI
  • NPI 1114420353
  NPD
• Harsha P Jayatilake MD PLLC

  • Specialist
  • Livonia, MI
  • NPI 1114134020
  NPD (past)
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684
  NPD (past)
• Western Wayne Urgent Care PC

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1033231667

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1548211832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152704",
            "telephone_number": "313-335-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152704",
            "telephone_number": "313-335-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYATILAKE",
        "first_name": "PRASANI",
        "middle_name": "NILWALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4473553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachna Jayaprakash, M.B.B.S
• Sangeetha Jayaraman, BDS
• Geethani Jayasundera, MD
• Koralege Kumudu Buddhini Perera Jayatilaka, M.D.
• Janith Perera Jayatilake, DDS
• Ruvini Goonathilake Jayawardena, MD
• Miriam Jaziri
• JB Dental Associates PLLC
• JCJ Wholistic Health Care, LLC
• Jcreative3000 (Jcreative3000HomeHealthCareAgency)

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.