Individual provider Active NPI

Ranil S Gajanayaka, MD

  • Nephrology Physician
  • Irving, TX
National Provider Identifier
1841452380
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q4580 Issued in TX
Practice address
2005 W Park Dr Ste 200
Irving, TX 75061-2034
Phone
(214) 358-2300
Fax
(214) 579-6984
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Q4580 TX Primary

Addresses

Primary practice location

2005 W Park Dr Ste 200
Irving, TX 75061-2034

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

2020 W State Highway 114 Ste 190
Grapevine, TX 76051-8649
Phone (214) 358-2300 ext. 6225

Other practice location 2

925 E Southlake Blvd Ste 270
Southlake, TX 76092-1479
Phone (214) 358-2300 ext. 6225

Other identifiers 1

IdentifierTypeStateIssuer
Q4580OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120827000121 MN Practitioner - Internal MedicinePractitioner - Nephrology 1759550817 Reassigns benefits to 2 organizations
I20160426001766 TX Practitioner - NephrologyPractitioner - Internal Medicine 1759550817 Reassigns benefits to 1 organization
I20220420000779 OK Practitioner - Hospitalist 1759550817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132

1625 N Story Rd
Suite 140
Irving, TX 75061-1954
Phone (972) 871-8282

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

Hospital & facility affiliations

  • FKC Grapevine Dialysis facility, Grapevine, TX, CCN 452832
  • DaVita Grapevine Dialysis Dialysis facility, Grapevine, TX, CCN 672531
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822
  • Range Regional Health Services Hospital, Hibbing, MN, CCN 240040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services CurrentSince May 12, 2017 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Range Regional Health Services CurrentSince May 12, 2017 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 22, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 13, 2019 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Nov 22, 2016 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 13, 2019 Accepting new patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

1600 W College St
Ste 685
Grapevine, TX 76051
Phone (682) 223-1406

2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225

1625 N Story Rd
Ste 140
Irving, TX 75061
Phone (972) 871-8282

2005 W Park Dr
Ste 200
Irving, TX 75061
Phone (214) 366-6225

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

925 E Southlake Blvd
Ste 270
Southlake, TX 76092
Phone 2143582300 ext. 6225

Interoperability endpoints

  • Direct secure messaging: rgajanayaka52377@direct.acumenmd.com
  • Direct secure messaging: ranilgajanayaka@dneph.allscriptsdirect.net
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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 7

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1841452380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W PARK DR STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612034",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 W State Highway 114 Ste 190",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518649",
            "country_code": "US",
            "telephone_number": "214-358-2300 x6225",
            "fax_number": "214-579-6984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 E Southlake Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760921479",
            "country_code": "US",
            "telephone_number": "214-358-2300 x6225",
            "fax_number": "214-579-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJANAYAKA",
        "first_name": "RANIL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q4580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q4580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.