YAMANI GUNAWARDENA MD
NPI 1083773550
Internal Medicine in Zanesville, OH

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
945 BETHESDA DR, SUITE 240, ZANESVILLE, OH 43701(740) 454-5398(740) 455-7580 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yamani Gunawardena Md NPPES

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

YAMANI GUNAWARDENA MD (NPI 1083773550) is an individual internal medicine provider in Zanesville, Ohio, licensed in Ohio (35.087143) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083773550
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYAMANI GUNAWARDENACredential: MD
Location Address945 BETHESDA DR, SUITE 240Zanesville, OH 43701-0801
Mailing Address1246 Ashland Ave, Ste 204Zanesville, OH 43701-2861 · (740) 450-6147 · Fax (740) 450-6157
Fax(740) 455-7580
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 7, 2016
NPI 1083773550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.087143
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.
945 BETHESDA DR, Zanesville, OH 43701

Other Identifiers 2

Medicare PIN4147995OH
Medicaid2549273OH

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

Yamani Gunawardena Md 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 ID4587620091
PECOS Enrollment IDI20060308000357
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
565 services513 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
152 services140 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
51 services50 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
48 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services26 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
22 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Coshocton Regional Medical Center

Acute Care Hospitals · Coshocton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360109
Location1460 Orange StreetCoshocton, OH 43812 · Coshocton County
Emergency services

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%437 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
2 suppliers52 claims52 services$19.12 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
2 suppliers48 claims48 services$102.18 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 20

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

Psychiatry & Neurology (Neurology)
945 BETHESDA DR, SUITE 230
ZANESVILLE, OH 43701
Nurse Practitioner (Family)
945 BETHESDA DR
ZANESVILLE, OH 43701
Urology
945 BETHESDA DR, SUITE 340
ZANESVILLE, OH 43701
Specialist
945 BETHESDA DR, SUITE 300
ZANESVILLE, OH 43701
Obstetrics & Gynecology
945 BETHESDA DR, SUITE 120
ZANESVILLE, OH 43701
Internal Medicine
945 BETHESDA DR
ZANESVILLE, OH 43701
Family Medicine
945 BETHESDA DR, SUITE 110
ZANESVILLE, OH 43701
Obstetrics & Gynecology
945 BETHESDA DR, STE 330
ZANESVILLE, OH 43701

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 Yamani Gunawardena's NPI number?

The NPI number for Yamani Gunawardena is 1083773550. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Yamani Gunawardena located?

Yamani Gunawardena practices at 945 Bethesda Dr Suite 240, Zanesville, OH 43701. The listed phone number is (740) 454-5398.

What is Yamani Gunawardena's specialty?

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

Is Yamani Gunawardena enrolled in Medicare?

Yes. Yamani Gunawardena 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 Yamani Gunawardena accept?

Health plans from CareSource list Yamani Gunawardena 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 Yamani Gunawardena affiliated with any hospitals?

According to CMS data, Yamani Gunawardena is affiliated with Riverside Methodist Hospital, Genesis Hospital, Ohio State University State Health System, Coshocton Regional Medical Center and Southeastern Ohio Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Yamani Gunawardena was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.