Venuka Wickramaarachchi Mabotuwana, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0098501 Issued in MD

Practice address

11325 Seven Locks Rd Ste 290
Potomac, MD 20854-3235

Phone

(240) 507-5110

NPI assigned

Jun 28, 2013

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: venuka.mabotuwana@cpcl.eclinicaldirectplus.com
• Direct secure messaging: vwickramaarachchi1515983@direct.ehre.uwmedicine.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Primary Care and Associates LLC

  dba CloseKnit

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC, Family Medicine

  Medicare reassignment Care Compare group NPD
• Happy Health and Wellness East LLC

  dba Capital Integrative Health

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1063251494
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Rehabilitation Hospital of Maryland Inc

  dba Adventist HealthCare Rehabilitation

  • Rehabilitation Hospital
  • Rockville, MD
  • NPI 1043216773

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1952741464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD STE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504015",
            "telephone_number": "301-869-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 290",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543235",
            "telephone_number": "240-507-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19200 N Kelsey St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721431",
            "country_code": "US",
            "telephone_number": "360-794-4790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5413 W Cedar Ln Ste 203C",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141527",
            "country_code": "US",
            "telephone_number": "301-869-9776",
            "fax_number": "301-417-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABOTUWANA",
        "first_name": "VENUKA",
        "middle_name": "WICKRAMAARACHCHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60656272",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0098501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952741464",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loudoun Medical Group, PC (DME)
• Juli R Louttit, RD
• Genevieve Serwah Loving
• Hoan Kim Luu, RPH
• M Medical Group, Inc.
• Liliane Magne, HOME HEALTH AIDE
• Erin Ann Magnotta, OTR/L
• Carol Eileen Maio
• Danielle Lynn Maizel, MA, LCPC, LPC, RPT
• Marie Makandjo

• Family Medicine Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.