Dilshan N Gunawardena, MD, DMD, FACS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD452026 Issued in PA

Practice address

158 York Rd
Warminster, PA 18974-4521

Phone

(215) 672-6560

Fax

(215) 672-7343

NPI assigned

Jun 10, 2008

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Tufts University School of Dental Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Schelkun and Kienle Associates of Bucks County, PCGroup PAC ID 4486637196, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Flagship Oral, Facial, and Dental Implant Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warminster, PA
  • NPI 1295784015
  Medicare reassignment Care Compare group NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Trauma Associates

  • Trauma Surgery Physician
  • Bethlehem, PA
  • NPI 1083789150
  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1982864492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744521",
            "telephone_number": "215-672-6560",
            "fax_number": "215-672-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744521",
            "telephone_number": "215-672-6560",
            "fax_number": "215-672-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Blacksmith Rd Ste Dreams",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401847",
            "country_code": "US",
            "telephone_number": "215-579-1525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 Pennsylvania Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343420",
            "country_code": "US",
            "telephone_number": "215-591-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNAWARDENA",
        "first_name": "DILSHAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, DMD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10137",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039854",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "MD452026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10137",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory J. Lynch, D.O., P.C.
• Danielle Griffiths, LPC
• Emily Grace Groarke
• Nicole Gromadzki
• Samantha Grzegorczyk
• Kenneth Paul Gutsin, D.C.
• Charles Louis Gysi Jr., RPH
• Heather Haas, MA
• Juliet Mae Haberbusch, MOTRL
• Erin Haberman, CRNP

• Oral & Maxillofacial Surgery (D.M.D.) in Warminster, PA
• Providers in Warminster, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.