Harsha Perera Jayatilake, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301062267 Issued in MI

Practice address

37663 Pembroke Ave
Livonia, MI 48152-1050

Phone

(743) 591-1300

Fax

(734) 591-1344

NPI assigned

May 12, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hjayatilake26138@direct.trinity-health.org

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.

• Harsha P Jayatilake MD PLLC

  • Specialist
  • Livonia, MI
  • NPI 1114134020
  NPD (past) Authorized official
• University Family Physicians

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1346374097
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912958299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37663 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-591-1300",
            "fax_number": "734-591-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37663 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "743-591-1300",
            "fax_number": "734-591-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYATILAKE",
        "first_name": "HARSHA",
        "middle_name": "PERERA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4383133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Jarvi, MA, LLP, LMSW
• Rebecca Jarvis
• Patrick F Jary, D.C.
• Shelbi Jasin
• Umer Javaid, MD
• Chloe Lane Jayson
• JBNP Services, LLC
• JBNP Services, LLC
• JD Behavioral Consulting
• JD Counseling

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.