Rohini Wijetilleke MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35528 Issued in VA

Legal business name

ROHINI WIJETILLEKE MD PC

Practice address

100 Elden Street
Suite 14
Herndon, VA 20170

Phone

(703) 471-7733

Fax

(703) 471-7733

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rohini Wijetilleke, MD

Title

MD PC

Phone

(703) 471-7733

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Family Practice And Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1942215330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELDEN STREET",
            "address_2": "SUITE 14",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-471-7733",
            "fax_number": "703-471-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELDEN STREET",
            "address_2": "SUITE 14",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-471-7733",
            "fax_number": "703-471-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHINI WIJETILLEKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WIJETILLEKE",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_title_or_position": "MD PC",
        "authorized_official_telephone_number": "703-471-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "35528",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "35528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "210923",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5618410",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "281178",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6711324",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice And Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrianna Zatxa Rodriguez
• Milagros Graciela Rodriguez
• Clark W Rogers, D.D.S.
• Cynthia Jane Rogers, DMIN, LCSW
• Lauren Rogers, RBT
• Brieanna Rollocks
• Lisa M Romanzo, DPT
• Ronald C Wichin DC PC
• Jessica Giovanna Rosales Lozano, NP
• Kelly Erin Roshelli

• Pediatrics Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.