NPIMap

Individual provider Active NPI

Upeksha Sewwandi Thilakawardana

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1902384258
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC002395 Issued in MD
Practice address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone
(410) 535-4000
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC002395 MD Primary

Addresses

Primary practice location

100 Hospital Rd
Prince Frederick, MD 20678-4017

Mailing address

9852 Fairfax SQ Apt 230
Fairfax, VA 22031-4252
Phone (703) 539-9618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190103000020 MD Practitioner - Nurse Practitioner 7012252570 Reassigns benefits to 3 organizations
I20250411000710 DC Practitioner - Nurse Practitioner 7012252570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at Calvert LLCGroup PAC ID 6406017425, 26 clinicians
Mdics at Anne Arundel LLCGroup PAC ID 1456515519, 32 clinicians
Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians
Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4016
Phone (410) 535-4000

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814

901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000

904 Commerce Rd
Annapolis, MD 21401-2948
Phone (410) 849-6140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
78.53
Improvement activities
40
Cost
79.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC002395MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince May 1, 2025 Accepting new patients
Mdics at Calvert LLC CurrentSince Dec 1, 2018 Accepting new patients
Dimensions Healthcare Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
Adfinitas Health at Umcap, LLC CurrentSince Apr 1, 2025 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Jan 1, 2025 Accepting new patients
Mdics at Civista LLC CurrentSince Jan 1, 2025 Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Organizations & group practices 8

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 6

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1902384258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 FAIRFAX SQ APT 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314252",
            "telephone_number": "703-539-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILAKAWARDANA",
        "first_name": "UPEKSHA",
        "middle_name": "SEWWANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.