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DR. PRIYANTHA NALINDA WIJEWARDANE M.D.
NPI 1104811108
Internal Medicine in Little Rock, AR

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
1505 W 11TH ST, LITTLE ROCK, AR 72202(501) 376-1160(501) 376-3977 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Priyantha Nalinda Wijewardane M.d. NPPES

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

DR. PRIYANTHA NALINDA WIJEWARDANE M.D. (NPI 1104811108) is an individual internal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-1124) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1104811108
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRIYANTHA NALINDA WIJEWARDANECredential: M.D.
Location Address1505 W 11TH STLittle Rock, AR 72202-4619
Mailing Address1505 W 11th StLittle Rock, AR 72202-4619 · (501) 376-1160 · Fax (501) 376-3977
Phone(501) 376-1160
Fax(501) 376-3977
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 15, 2005
Last NPPES UpdateDecember 23, 2009
✔ NPI 1104811108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-1124
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.
1505 W 11TH ST, Little Rock, AR 72202
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Other Identifiers 3

Medicare UPING45289
Medicaid130532001AR
Medicare ID-Type Unspecified5K306

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Dr. Priyantha Nalinda Wijewardane 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 ID7012043565
PECOS Enrollment IDI20100412000096
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

2

Medicare enrollment records show Priyantha Wijewardane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health
5.2 mi
Cardiovascular Disease
9601 BAPTIST HEALTH DRIVE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 110 clinicians in this Medicare group
NPI 1578593067 (501) 202-2080
Arkansas Health Group
10 mi
Internal Medicine
1701 CLUB MANOR DR STE 2B
Maumelle, AR 72113
  • Reassigned Medicare billing, Arkansas enrollment
  • 96 clinicians in this Medicare group
NPI 1932118890 (501) 851-7402

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 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.

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.
693 services248 patients
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.
288 services280 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
224 services213 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.
109 services58 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.
105 services56 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 suppliers14 claims14 services$13.40 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 suppliers21 claims21 services$78.21 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 2

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

DR. HAROLD BYRD BETTON M.D.
Family Medicine
1505 W 11TH ST
LITTLE ROCK, AR 72202
Pulaski County (501) 376-1160
HAROLD B. BETTON, M.D. P.A.
Family Medicine
1505 W 11TH ST
LITTLE ROCK, AR 72202
Pulaski County (501) 376-1160

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 Priyantha Wijewardane's NPI number?

The NPI number for Priyantha Wijewardane is 1104811108. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Priyantha Wijewardane located?

Priyantha Wijewardane practices at 1505 W 11th St, Little Rock, AR 72202. The listed phone number is (501) 376-1160.

What is Priyantha Wijewardane's specialty?

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

Is Priyantha Wijewardane enrolled in Medicare?

Yes. Priyantha Wijewardane 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 Priyantha Wijewardane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyantha Wijewardane reassigns Medicare benefits to 2 organizations: Baptist Health (Little Rock, AR) and Arkansas Health Group (Maumelle, AR). 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 Priyantha Wijewardane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyantha Wijewardane accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Priyantha Wijewardane 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 Priyantha Wijewardane was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.