SUMMANTHER T. ANTHONY KAVIRATNE M.D.
NPI 1154555811
Internal Medicine - Interventional Cardiology in Tacoma, WA

Q: What is Summanther Kaviratne's NPI number?

The NPI number for Summanther Kaviratne is 1154555811. It was assigned to this individual provider in the NPPES registry on May 11, 2009. The provider is also known as Anthony Kaviratne MD.

Q: What is Summanther Kaviratne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment

1802 YAKIMA AVE STE 307, TACOMA, WA 98405(253) 627-1244(253) 627-6576 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Dec 12, 2025, Nov 2, 2023 and 3 more (6 updates tracked since 2021).

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About Summanther T. Anthony Kaviratne M.d. NPPES

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

SUMMANTHER T. ANTHONY KAVIRATNE M.D. (NPI 1154555811) is an individual interventional cardiology provider in Tacoma, Washington, licensed in Washington (MD61188393) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154555811

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSUMMANTHER T. ANTHONY KAVIRATNECredential: M.D.

Location Address1802 YAKIMA AVE STE 307Tacoma, WA 98405-5305

Mailing Address1802 Yakima Ave Ste 307Tacoma, WA 98405-5305 · (253) 627-1244 · Fax (253) 627-6576

Phone(253) 627-1244

Fax(253) 627-6576

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 11, 2009

Last NPPES UpdateAugust 24, 20266 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1154555811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in WA · MD61188393✔ Licensed in ID · M-16371

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1802 YAKIMA AVE STE 307, Tacoma, WA 98405

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Other Names 1

Professional Name (2)Anthony Kaviratne Md

Secondary Practice Locations 2

Location 119250 SW 65th AveTualatin, OR 97062-7452 · Phone (503) 413-7162

Location 24424 E Flamingo Ave Ste 300Nampa, ID 83687-9306 · Phone (208) 302-0200 · Fax (208) 302-0255

Other Identifiers 1

Medicaid2251622WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Summanther T. Anthony Kaviratne 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 ID9537387915

PECOS Enrollment IDI20230804002941

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

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

Grays Harbor Community Hospital

48 mi

Rehabilitation Unit

575 E MAIN ST, BUILDING 1 SUIET A
Elma, WA 98541

Reassigned Medicare billing, Washington enrollment
190 clinicians in this Medicare group

NPI 1073763314 (360) 537-6116

Saint Alphonsus Regional Medical Center Inc

375 mi

Family Medicine

712 AVIATION WAY
Caldwell, ID 83605

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1861676298 (208) 302-1000

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 16

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

143 services140 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services64 patients

Ultrasound of heart 93307

An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.

72 services72 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

56 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

47 services42 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.

26 services19 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

17 services17 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services15 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

15 services15 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

15 services15 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

13 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320085

Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450587

Location1501 Burnet DrBrownwood, TX 76801 · Brown County

Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500031

Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 9

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

MARINA ZAKHAROVA JANSEN MD

Internal Medicine (Cardiovascular Disease)