IMARA R. DISSANAYAKE MD – NPI #1295796969
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

IMARA DISSANAYAKE is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1295796969 to IMARA DISSANAYAKE on March 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 14 years ago on Dec 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMARA DISSANAYAKE below.

NPI Profile for
IMARA R. DISSANAYAKE

NPI Number
1295796969
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
IMARA R. DISSANAYAKE
Credentials
MD
Primary location
5501 OLD YORK RD
PHILADELPHIA, PA 19144
Phone: (215) 456-6970 Fax: (215) 456-7154
Mailing address
101 EAST OLNEY AVE
STE 400
PHILADELPHIA, PA 19120
Phone: (215) 456-7000 Fax: (215) 254-2599
Sole Proprietor
No
Updated
Identifiers

Identifiers for IMARA DISSANAYAKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA001866922
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 PA MD072898L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
IMARA DISSANAYAKE is affiliated with the following medical group(s):
  • HOSPITAL
    • ALBERT EINSTEIN MEDICAL CENTER
      5501 OLD YORK ROAD
      PHILADELPHIA, PA 19141
  • DIALYSIS FACILITY
    • DAVITA CHELTENHAM DIALYSIS
      133 Cheltenham Avenue
      Cheltenham, PA 19012
    • DAVITA NE PHILADELPHIA DIALYSIS CENTER
      518 Knorr Street
      Philadelphia, PA 19111
    • DAVITA NORTHERN PHILADELPHIA DIALYSIS
      5933 North Broad Street
      Philadelphia, PA 19141
    • DAVITA WYNCOTE DIALYSIS
      Cedarbrook Plaza
      Wyncote, PA 19095

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