NPIMap

Individual provider Active NPI

Ratnasiri Gunawardena, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Norfolk, VA
National Provider Identifier
1700851300
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101239066 Issued in VA
Practice address
850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Phone
(757) 261-5744
Fax
(757) 261-0321
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2003013994 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101239066 VA Primary

Addresses

Primary practice location

850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920

Mailing address

850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Phone (757) 261-5744

Other practice location 1

1066 Executive Parkway Dr
Suite 105
Saint Louis, MO 63141-6340
Phone (314) 317-0600

Other identifiers 1

IdentifierTypeStateIssuer
208828608MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060825000108 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 8224031604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

850 Kempsville Rd
Suite 100G
Norfolk, VA 23502-3920
Phone (757) 257-9913

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003013994MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Sentara Medical Group CurrentSince Jul 1, 2006 Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients

Locations

850 Kempsville Rd
Ste 100E
Norfolk, VA 23502
Phone (757) 261-5744

850 Kempsville Rd
Ste 100G
Norfolk, VA 23502
Phone (757) 257-9913

850 Kempsville Rd
#100E
Norfolk, VA 23502
Phone (757) 261-5744

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: rgunawardena30639@direct.sentara.net

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1700851300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 100E",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5744",
            "fax_number": "757-261-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 100E",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5744",
            "fax_number": "757-261-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1066 Executive Parkway Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416340",
            "country_code": "US",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNAWARDENA",
        "first_name": "RATNASIRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2003013994",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101239066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208828608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.