GAYANA WANNIARACHCHI
NPI 1003540220
Podiatrist - Foot & Ankle Surgery in Dixon, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Gayana Wanniarachchi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dixon, IL 61021
- Reassigned Medicare billing, Illinois enrollment
- 64 clinicians in this Medicare group
Dixon, IL 61021
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
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, ILOsf Saint Paul Medical Center
Critical Access Hospitals · Mendota, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gayana Wanniarachchi's NPI number?
The NPI number for Gayana Wanniarachchi is 1003540220. It was assigned to this individual provider in the NPPES registry on July 13, 2022.
Where is Gayana Wanniarachchi located?
Gayana Wanniarachchi practices at 215 E 1st St Ste 111, Dixon, IL 61021. The listed phone number is (815) 345-5677.
What is Gayana Wanniarachchi's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Gayana Wanniarachchi enrolled in Medicare?
Yes. Gayana Wanniarachchi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gayana Wanniarachchi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gayana Wanniarachchi reassigns Medicare benefits to 3 organizations: Katherine Shaw Bethea Hospital (Dixon, IL), Ksb Medical Group, Inc. (Dixon, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gayana Wanniarachchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gayana Wanniarachchi affiliated with any hospitals?
According to CMS data, Gayana Wanniarachchi is affiliated with Osf Saint Elizabeth Mdl Ctr, Osf Saint Paul Medical Center and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Gayana Wanniarachchi was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gayana Wanniarachchi · NPI 1003540220
Foot & Ankle Surgery provider in Dixon, Illinois. Individual provider, active in the CMS NPPES registry since July 13, 2022.
## Identity
- **NPI:** 1003540220 (Entity type: Individual)
- **Enumerated:** July 13, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 135.001170 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 E 1ST ST STE 111, Dixon, IL 61021-3198
- **Phone:** (815) 345-5677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Katherine Shaw Bethea Hospital (NPI 1427043546, Dixon, IL); Ksb Medical Group, Inc. (NPI 1073592119, Dixon, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** William M. Scholl College Of Podiatric Medicine, class of 2022
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003540220) · Data from the CMS NPPES public registry.