Active NPI
Gnanin Joseph Hettiarachchy, M.D.
- Anesthesiology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 41119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69025568 | Medicaid | CO |
Other names 1
- Joseph Hettiarachchy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- East Houston Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41119 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Compass Anesthesia Providers PLLC | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
-
- Anesthesiology Physician
- Houston, TX
- NPI 1417808627
-
- Pain Medicine (Anesthesiology) Physician
- Colorado Springs, CO
- NPI 1982737680
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1972258580
-
- General Acute Care Hospital
- Humble, TX
- NPI 1376870840
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.