SUMUDU NALAKA DISSANAYAKE MD
NPI 1114244894
Radiology - Diagnostic Radiology in Los Angeles, CA
About Sumudu Nalaka Dissanayake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMUDU NALAKA DISSANAYAKE MD (NPI 1114244894) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A118966) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Sumudu Nalaka Dissanayake 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sumudu Dissanayake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 202 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Sumudu Dissanayake's NPI number?
The NPI number for Sumudu Dissanayake is 1114244894. It was assigned to this individual provider in the NPPES registry on April 21, 2010.
Where is Sumudu Dissanayake located?
Sumudu Dissanayake practices at 1500 San Pablo St 2nd Floor, Los Angeles, CA 90033. The listed phone number is (323) 442-8541.
What is Sumudu Dissanayake's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sumudu Dissanayake enrolled in Medicare?
Yes. Sumudu Dissanayake 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 Sumudu Dissanayake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumudu Dissanayake reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Uc Regents (Orange, CA). 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 Sumudu Dissanayake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sumudu Dissanayake was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sumudu Nalaka Dissanayake, MD · NPI 1114244894
Diagnostic Radiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 21, 2010.
## Identity
- **NPI:** 1114244894 (Entity type: Individual)
- **Enumerated:** April 21, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A118966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 SAN PABLO ST, 2ND FLOOR, Los Angeles, CA 90033-5313
- **Phone:** (323) 442-8541 · **Fax:** (323) 442-8755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1013409044, Los Angeles, CA); Uc Regents (NPI 1346298528, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114244894) · Data from the CMS NPPES public registry.