SAJINI NISAMMIKA JAYAKODY OD
NPI 1043104912
Optometrist in Grand Rapids, MI
About Sajini Nisammika Jayakody Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAJINI NISAMMIKA JAYAKODY OD (NPI 1043104912) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005884) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Sajini Nisammika Jayakody Od 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Sajini Jayakody's NPI number?
The NPI number for Sajini Jayakody is 1043104912. It was assigned to this individual provider in the NPPES registry on June 5, 2025.
Where is Sajini Jayakody located?
Sajini Jayakody practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 776-2135.
What is Sajini Jayakody's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sajini Jayakody enrolled in Medicare?
Yes. Sajini Jayakody 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 Sajini Jayakody accept?
Health plans from Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and McLaren Health Plan Community and 1 other insurer list Sajini Jayakody 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 Sajini Jayakody was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sajini Nisammika Jayakody, OD · NPI 1043104912
Optometrist provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 5, 2025.
## Identity
- **NPI:** 1043104912 (Entity type: Individual)
- **Enumerated:** June 5, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005884 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 CHERRY ST SE, Grand Rapids, MI 49503-4526
- **Phone:** (616) 776-2135
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043104912) · Data from the CMS NPPES public registry.