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MEVAN NANDAKA WIJETUNGA MD NPI 1457308645


NPI Information

NPI: 1457308645
Provider Name: MEVAN NANDAKA WIJETUNGA, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
1300 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-6236
Get Directions

Mevan Nandaka Wijetunga, MD is a clinical cardiac electrophysiology internal medicine in Grand Forks, ND with 28 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Mevan Nandaka Wijetunga, MD NPI is 1457308645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-6236
Fax: (701) 780-6221

The NPI 1457308645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine48798MINNESOTANo
2207RC0000XInternal MedicineCardiovascular Disease48798MINNESOTANo
3207RC0000XInternal MedicineCardiovascular DiseaseMDE33460DISTRICT OF COLUMBIANo
4207RC0001XInternal MedicineClinical Cardiac Electrophysiology11101NORTH DAKOTANo
5207RC0001XInternal MedicineClinical Cardiac Electrophysiology48798MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1967611200MEDICAIDMINNESOTA
215880581MEDICAIDVIRGINIA
3034425200MEDICAIDDISTRICT OF COLUMBIA
4400766200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.