Priyantha S Wijayagunaratne, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0411 Issued in MP

Practice address

1 Lower Havy Hill
Commonwealth Health Center
Saipan, MP 96950

Phone

(670) 234-8950

Fax

(670) 236-8608

NPI assigned

Feb 22, 2007

Last updated

Mar 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU, WY2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priyantha_wijayagunaratne_-_physician-_hospitalist@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kagman Community Health Center Inc

  dba Kagman Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Saipan, MP
  • NPI 1770002446
  Medicare reassignment NPD
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment NPD
• State of Wyoming

  dba Wyoming State Hospital

  • Psychiatric Hospital
  • Evanston, WY
  • NPI 1316011562
  Medicare reassignment
• Kagman Community Health Center Inc

  dba Tinian Isla Community Health

  • Federally Qualified Health Center (FQHC)
  • Tinian, MP
  • NPI 1891326070
  NPD
• Guam Memorial Hospital

  • Skilled Nursing Facility
  • Oka Tamuning, GU
  • NPI 1952479131
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1710012851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504508 CK",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-289-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOWER HAVY HILL",
            "address_2": "COMMONWEALTH HEALTH CENTER",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-234-8950",
            "fax_number": "670-236-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJAYAGUNARATNE",
        "first_name": "PRIYANTHA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "L026870",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MP",
            "license": "0411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Tudela, M.D.
• John Mark Ragutero Unciano, PT
• Jesus Rapisura Valdez Jr., PTRP
• Paul Anthony Viator, DMD
• Kitione Balawa Vukunisiga
• Jessica Delos Reyes Willsey, MPH, RDN, LDN
• Marc Llyod Wiltshire, MD
• Joshua Wise, PHARM.D.
• Women's Wellness Center, L.L.C.
• John Michael Yarofalir, MD

• General Practice Physician in Saipan, MP
• Providers in Saipan, MP by specialty
• General Practice Physician in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.