GAYANA WANNIARACHCHI
NPI 1003540220
Podiatrist - Foot & Ankle Surgery in Dixon, IL

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
215 E 1ST ST STE 111, DIXON, IL 61021(815) 345-5677 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gayana Wanniarachchi NPPES

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

GAYANA WANNIARACHCHI (NPI 1003540220) is an individual foot & ankle surgery provider in Dixon, Illinois, licensed in Illinois (135.001170) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of William M. Scholl College Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1003540220
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameGAYANA WANNIARACHCHI
Location Address215 E 1ST ST STE 111Dixon, IL 61021-3198
Mailing Address215 E 1st St Ste 111Dixon, IL 61021-3198
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2022
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 12, 2022
NPI 1003540220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 135.001170
215 E 1ST ST STE 111, Dixon, IL 61021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gayana Wanniarachchi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183078363
PECOS Enrollment IDI20230921001430
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Other Providers at the Same Location NPPES

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

Podiatrist
215 E 1ST ST STE 111
DIXON, IL 61021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003540220, enumerated as an "individual" on July 13, 2022.

The provider is located at 215 E 1ST ST STE 111 DIXON, IL 61021 and the phone number is (815) 345-5677.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.

Gayana Wanniarachchi is affiliated with: OSF SAINT ELIZABETH MDL CTR and OSF SAINT CLARE MEDICAL CENTER.