Individual provider Active NPI

Rukmalee Erandika Vithana

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1689932188
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D85290 Issued in MD
Practice address
1800 Orleans St RM M2303
Baltimore, MD 21287-0010
Phone
(410) 955-5987
Fax
(410) 955-8718
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D85290 MD Primary

Addresses

Primary practice location

1800 Orleans St RM M2303
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

4175 N Hanson Ct Ste 201
Bowie, MD 20716-3181
Phone (410) 224-4442

Other practice location 2

28438 Marlboro Ave
Easton, MD 21601-2732
Phone (410) 223-4442

Other practice location 3

185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401-7580
Phone (410) 224-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210208002748 MD Practitioner - Pediatric Medicine 0547675357 Reassigns benefits to 2 organizations
I20241016000905 DC Practitioner - Pediatric Medicine 0547675357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Arizona College of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

185 Harry S Truman Pkwy
120 Center for Maternal and Fetal Med
Annapolis, MD 21401-7580
Phone (410) 224-4442

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Feb 1, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 2, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Johns Hopkins University CurrentSince Feb 1, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 2, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

185 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 224-4442

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

1800 Orleans St
Rm M2303
Baltimore, MD 21287
Phone (410) 955-5987

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: rvithana804978@direct.hopkinsmedicine.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1689932188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST RM M2303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-5987",
            "fax_number": "410-955-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 N Hanson Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163181",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-244-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28438 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012732",
            "country_code": "US",
            "telephone_number": "410-223-4442",
            "fax_number": "410-224-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Harry S Truman Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017580",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-224-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITHANA",
        "first_name": "RUKMALEE",
        "middle_name": "ERANDIKA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D85290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.