Individual provider Active NPI

Gnanin Joseph Hettiarachchy, M.D.

  • Anesthesiology Physician
  • Colorado Springs, CO
National Provider Identifier
1699743096
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
41119 Issued in CO
Practice address
6001 E Woodmen Rd
Colorado Springs, CO 80923-2601
Phone
(719) 776-5000
Fax
(719) 448-0767
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 41119 CO Primary

Addresses

Primary practice location

6001 E Woodmen Rd
Colorado Springs, CO 80923-2601

Mailing address

PO Box 820
Colorado Springs, CO 80901-0820
Phone (719) 448-0981

Other identifiers 1

IdentifierTypeStateIssuer
69025568MedicaidCO

Other names 1

  • Joseph Hettiarachchy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231101003288 TX Practitioner - Anesthesiology 7113108499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Anesthesia Providers, PLLCGroup PAC ID 4082040878, 164 clinicians
Apex Frontier Group, PLLCGroup PAC ID 0345723292, 32 clinicians
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians

Practice addresses (Care Compare)

1475 FM 1960 Bypass Rd E
Townsen Memorial Hospital
Humble, TX 77338-3909
Phone (281) 369-9001

25450 Kuykendahl Rd
Suite 110
Tomball, TX 77375-3436
Phone (713) 804-1959

2743 Smith Ranch Rd
Unit 404
Pearland, TX 77584-5205
Phone (713) 955-3755

Hospital & facility affiliations

  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266
  • East Houston Medical Center Hospital, Houston, TX, CCN 670320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41119COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Oct 4, 2023 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Therapeutic Pain Services Past Accepting new patients

Locations

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1475 FM 1960 Bypass Rd E
Ste E
Humble, TX 77338

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

2743 Smith Ranch Rd
Ste 404
Pearland, TX 77584
Phone (317) 345-5267

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • Direct secure messaging: gnanin.hettiarachchy.1@13131.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1699743096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809010820",
            "telephone_number": "719-448-0981",
            "fax_number": "719-448-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232601",
            "telephone_number": "719-776-5000",
            "fax_number": "719-448-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTIARACHCHY",
        "first_name": "GNANIN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "41119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69025568",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "HETTIARACHCHY",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.