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DR. DHAMMIKA EKANAYAKE M.D.
NPI 1013073188
Internal Medicine in Zephyrhills, FL

Active since December 30, 2006PECOS EnrolledAccepts Medicare Assignment
6719 GALL BLVD, ZEPHYRHILLS, FL 33542(813) 708-6990 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Nov 20, 2025, Sep 16, 2025 and 3 more (6 updates tracked since 2017).

About Dr. Dhammika Ekanayake M.d. NPPES

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

DR. DHAMMIKA EKANAYAKE M.D. (NPI 1013073188) is an individual internal medicine provider in Zephyrhills, Florida, licensed in Florida (ME94309) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Zephyrhills, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013073188
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DHAMMIKA EKANAYAKECredential: M.D.
Location Address6719 GALL BLVDZephyrhills, FL 33542-2571
Mailing Address5350 Spring Hill DrSpring Hill, FL 34606-4562 · (352) 277-5348 · Fax (352) 606-2857
Phone(813) 708-6990
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 30, 2006
Last NPPES UpdateApril 8, 20266 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1013073188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME94309
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6719 GALL BLVD, Zephyrhills, FL 33542
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Secondary Practice Location 1

Location 136542 State Road 54Zephyrhills, FL 33541-6938 · Phone (813) 815-9976

Other Identifiers 2

Medicaid253729000FL
Other78329FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Dhammika Ekanayake M.d. 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 ID5294721312
PECOS Enrollment IDI20070505000113
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%61 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
87%71 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$14.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$69.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

SRINIVAS RAO NAGABANDI MD
Family Medicine
6719 GALL BLVD, STE 204
ZEPHYRHILLS, FL 33542
Pasco County (813) 715-9100
L & M CONNECTIONS, INC.
Home Health
6719 GALL BLVD, SUITE 104
ZEPHYRHILLS, FL 33542
Pasco County (813) 991-7524
DR. TEW AMPOL SAK MD
Otolaryngology
6719 GALL BLVD, STE 107
ZEPHYRHILLS, FL 33542
Pasco County (813) 782-4113
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
6719 GALL BLVD, UNIT 106
ZEPHYRHILLS, FL 33542
Pasco County (888) 540-9660
TEW A SAK MD PA
Otolaryngology
6719 GALL BLVD, STE 107 TEW A SAK MD
ZEPHYRHILLS, FL 33542
Pasco County (813) 782-4113
DR. JOHN A FERLITA M.D.
Obstetrics & Gynecology
6719 GALL BLVD, SUITE #208
ZEPHYRHILLS, FL 33542
Pasco County (813) 782-7318
AMIR QUEFATIEH MD
Internal Medicine (Pulmonary Disease)
6719 GALL BLVD
ZEPHYRHILLS, FL 33542
Pasco County (813) 782-7318
JOHN A. FERLITA, M.D.,P.A.
Obstetrics & Gynecology
6719 GALL BLVD, SUITE #208
ZEPHYRHILLS, FL 33542
Pasco County (813) 782-7318

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 Dhammika Ekanayake's NPI number?

The NPI number for Dhammika Ekanayake is 1013073188. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Dhammika Ekanayake located?

Dhammika Ekanayake practices at 6719 Gall Blvd, Zephyrhills, FL 33542. The listed phone number is (813) 708-6990.

What is Dhammika Ekanayake's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dhammika Ekanayake enrolled in Medicare?

Yes. Dhammika Ekanayake 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.

What insurance does Dhammika Ekanayake accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dhammika Ekanayake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dhammika Ekanayake was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.