Individual provider Active NPI

Thinesh Dahanayake, MD

  • Pulmonary Disease Physician
  • Norwich, CT
National Provider Identifier
1639293186
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
049691 Issued in CT
Practice address
79 Wawecus St Ste 103
Norwich, CT 06360-2173
Phone
(860) 886-1862
Fax
(860) 886-2046
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 049691 CT Primary

Addresses

Primary practice location

79 Wawecus St Ste 103
Norwich, CT 06360-2173

Mailing address

79 Wawecus St Ste 103
Norwich, CT 06360-2173
Phone (860) 886-1862

Other identifiers 1

IdentifierTypeStateIssuer
1639293186MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110609000205 CT Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678750122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Albany Medical College of Union University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Physicians of Norwich PCGroup PAC ID 5092601955, 10 clinicians

Practice addresses (Care Compare)

121 Broadway St
Colchester, CT 06415-1052
Phone (860) 886-1862

558 Norwich Rd
Plainfield, CT 06374-1725
Phone (860) 886-1862

79 Wawecus St
Suite 103
Norwich, CT 06360-2173
Phone (860) 886-1862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
74.91
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049691CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of Norwich PC Single Specialty CurrentSince Jul 18, 2011 Accepting new patients

Locations

121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900

79 Wawecus St
Ste 103
Norwich, CT 06360
Phone (860) 886-1862

330 Washington St
Ste 430
Norwich, CT 06360
Phone (860) 886-1862

558 Norwich Rd
Plainfield, CT 06374
Phone (860) 564-4054

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1639293186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 103",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602173",
            "telephone_number": "860-886-1862",
            "fax_number": "860-886-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 103",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602173",
            "telephone_number": "860-886-1862",
            "fax_number": "860-886-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHANAYAKE",
        "first_name": "THINESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "049691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639293186",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.