Active NPI
Rohan L Wijetilaka, MD
- Cardiovascular Disease Physician
- Yonkers, NY
National Provider Identifier
1821058694
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 193531
- Practice address
- 944 N Broadway
Suite 203
Yonkers, NY 10701-1304 - Phone
- (914) 963-2484
- Fax
- (914) 963-3674
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 193531 | NY | Primary |
Addresses
Primary practice location
944 N Broadway
Suite 203
Yonkers, NY 10701-1304
Mailing address
944 N Broadway
Suite 203
Yonkers, NY 10701-1304
Phone (914) 963-2484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01663152 | Medicaid | NY | |
| 060071266 | Other | NY | RR MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishna M Mohan M.D.P.C. | Past | Accepting new patients | |
| North Broadway Internal Medicine PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- New York, NY
- NPI 1215255245
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1699930743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1821058694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 N BROADWAY",
"address_2": "SUITE 203",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011304",
"telephone_number": "914-963-2484",
"fax_number": "914-963-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 N BROADWAY",
"address_2": "SUITE 203",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011304",
"telephone_number": "914-963-2484",
"fax_number": "914-963-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIJETILAKA",
"first_name": "ROHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "193531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01663152",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID",
"identifier": "060071266",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.