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INDURUWA NELANI PATHIRANA M.D.
NPI 1063796779
Internal Medicine - Gastroenterology in Coon Rapids, MN

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment
9145 SPRINGBROOK DR NW STE 200, COON RAPIDS, MN 55433(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Induruwa Nelani Pathirana M.d. NPPES

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

INDURUWA NELANI PATHIRANA M.D. (NPI 1063796779) is an individual gastroenterology provider in Coon Rapids, Minnesota, licensed in Minnesota (74033) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063796779
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameINDURUWA NELANI PATHIRANACredential: M.D.
Location Address9145 SPRINGBROOK DR NW STE 200Coon Rapids, MN 55433-5886
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491
Phone(612) 871-1145
Fax(612) 870-5491
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 30, 2011
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1063796779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MN · 74033
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9145 SPRINGBROOK DR NW STE 200, Coon Rapids, MN 55433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Induruwa Nelani Pathirana 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 ID8426335209
PECOS Enrollment IDI20230516003671
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Induruwa Pathirana reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mngi Digestive Health, P.A.
9.8 mi
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
NPI 1609804541 (612) 871-1145
Fairview Health Services
12 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000
Healtheast St. John's Hospital
14 mi
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1558240853 (855) 324-7843
Healtheast Woodwinds Hospital
21 mi
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
NPI 1356309322 (651) 232-0100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
34 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 16

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

SHAZ IQBAL M.D.
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
ABIGAIL LEE SPILMAN PA-C
Physician Assistant
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
YAN GENNAD'YEVICH BAKMAN MD
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
RAGHUWANSH P SAH MBBS
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
MARY MANELLI APRN, CNP
Nurse Practitioner (Gerontology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
WILLIAM M EHRHARDT MD
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
DR. MICHAEL X MIN M.D.
Hospitalist
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
ERIN WITHERS THACKERAY MD
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145

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 Induruwa Pathirana's NPI number?

The NPI number for Induruwa Pathirana is 1063796779. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Induruwa Pathirana located?

Induruwa Pathirana practices at 9145 Springbrook Dr NW Ste 200, Coon Rapids, MN 55433. The listed phone number is (612) 871-1145.

What is Induruwa Pathirana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Induruwa Pathirana enrolled in Medicare?

Yes. Induruwa Pathirana 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 Induruwa Pathirana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Induruwa Pathirana reassigns Medicare benefits to 4 organizations: Mngi Digestive Health, P.A. (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Healtheast St. John's Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). 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 Induruwa Pathirana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Induruwa Pathirana accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Induruwa Pathirana 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.

Is Induruwa Pathirana affiliated with any hospitals?

According to CMS data, Induruwa Pathirana is affiliated with North Memorial Health Hospital, Abbott Northwestern Hospital, Mercy Hospital, M Health Fairview Ridges Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Induruwa Pathirana was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.