Lihini Imala Dalzell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS11114 Issued in FL

Practice address

5318 34TH St W
Bradenton, FL 34210-3401

Phone

(941) 758-0205

Fax

(941) 758-0132

NPI assigned

Jul 10, 2009

Last updated

Apr 13, 2015By 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 1

Addresses

Other identifiers 1

Other names 1

• Lihini Imala Weerasuriya Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Doctor 4 U Clinic Inc

  • Urgent Care Clinic/Center
  • Bradenton, FL
  • NPI 1366837478
  Medicare reassignment Authorized official
• Ambulatory Care Physicians of Sarasota LLC

  • General Practice Physician
  • Sarasota, FL
  • NPI 1417986084
  NPD (past)
• Sarasota Emergency Associates PA

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1831175306
  NPD (past)

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

• Doctor's Choice Home Care, LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Bradenton, FL
  • NPI 1104082932
  Care Compare affiliation
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1750510889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 34TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103401",
            "telephone_number": "941-758-0205",
            "fax_number": "941-758-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 34TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103401",
            "telephone_number": "941-758-0205",
            "fax_number": "941-758-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "LIHINI",
        "middle_name": "IMALA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003883600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIHINI",
            "last_name": "WEERASURIYA",
            "middle_name": "IMALA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daley and Associates Primemed of Tampa Bay LLC
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• Edgar R Dalton, DDS
• Ashley Katherine Daly
• Emily Jane Daly, RCSWI
• Michael J Damato Jr., APRN,FNP-C,PMHNP-BC
• Wendy Michele Damato, FNP-C, PMHNP-BC
• Dan Hirssig Inc
• Jennifer L Danahy, PT
• Linh Khanht Dang

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.