DR. ISHANI D PREMARATNE MD
NPI 1003494766
Plastic Surgery in Los Angeles, CA

Q: What is Ishani Premaratne's NPI number?

The NPI number for Ishani Premaratne is 1003494766. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Ishani Premaratne's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Ishani Premaratne was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2021PECOS Enrolled

1200 N STATE ST STE A7D, LOS ANGELES, CA 90089(323) 409-6225 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Apr 1, 2021 (2 updates tracked since 2021).

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About Dr. Ishani D Premaratne Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ISHANI D PREMARATNE MD (NPI 1003494766) is an individual plastic surgery provider in Los Angeles, California, licensed in California (A198413) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003494766

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. ISHANI D PREMARATNECredential: MD

Location Address1200 N STATE ST STE A7DLos Angeles, CA 90089-1001

Mailing Address1200 N State St Ste A7dLos Angeles, CA 90089-1001

Phone(323) 409-6225

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateMay 22, 20262 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1003494766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A198413

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1200 N STATE ST STE A7D, Los Angeles, CA 90089

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ishani D Premaratne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVYA MULCHANDANI MD

Student in an Organized Health Care Education/Training Program