Himali Sheshtra Wijesooriya, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301102341 Issued in MI

Practice address

640 Court Street
West Branch, MI 48661-0001

Phone

(989) 345-8120

Fax

(989) 345-8129

NPI assigned

Aug 5, 2009

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NJ

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

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
• Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: himali.wijesooriya.p1@direct.cchn.nextgenshare.com

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.

• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  NPD (past)
• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Vineland

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Vineland

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • West Deptford, NJ
  • NPI 1629431481
  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • Millville, NJ
  • NPI 1710340575
  Care Compare affiliation

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1720219926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 COURT STREET",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610001",
            "telephone_number": "989-345-8120",
            "fax_number": "989-345-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COURT STREET",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610001",
            "telephone_number": "989-345-8120",
            "fax_number": "989-345-8129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573139",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 73 N",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534524",
            "country_code": "US",
            "telephone_number": "856-355-7120",
            "fax_number": "856-355-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "609-367-0900",
            "fax_number": "609-267-0901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIJESOORIYA",
        "first_name": "HIMALI",
        "middle_name": "SHESHTRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10206300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301102341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Westfall
• Douglas White, PHARMD
• Susan Rayette White
• Carl Whittington
• Janet E Wichert, RD
• Kayla V Wilczynski, FNP
• Christina Wiles
• John Wilkins, DO
• Dylan Williams, OD
• Barbara Arlene Wilson, BSW,LBSW

• Family Medicine Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.

Verify at the official NPI Registry.