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DR. RUVINI WIJETILAKA M.D
NPI 1194003582
Internal Medicine in New York, NY

Active since August 02, 2011Opted out of Medicare · through Jul 1, 2027
99 JOHN ST, NEW YORK, NY 10038(201) 747-1141(646) 396-5651 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2025, Dec 2, 2022, May 6, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Ruvini Wijetilaka M.d NPPES

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

DR. RUVINI WIJETILAKA M.D (NPI 1194003582) is an individual internal medicine provider in New York, New York, licensed in New York (295042) and active in the NPI registry since August 2011. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194003582
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RUVINI WIJETILAKACredential: M.D
Location Address99 JOHN STNew York, NY 10038-2903
Mailing Address99 John StNew York, NY 10038-2903 · (201) 747-1141 · Fax (646) 396-5651
Phone(201) 747-1141
Fax(646) 396-5651
Sole ProprietorNo
Enumeration DateAugust 2, 2011
Last NPPES UpdateApril 11, 20255 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1194003582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 295042✔ Licensed in PA · MD459542✔ Licensed in CA · 181453
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.
99 JOHN ST, New York, NY 10038
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18550 Santa Monica Blvd Fl 2West Hollywood, CA 90069-4496 · Phone (833) 447-2775
Location 2126 5th AveNew York, NY 10011-5606 · Phone (833) 477-2775

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ruvini Wijetilaka M.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10038 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 4

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

REBECCA MAZER LMT
Massage Therapist
99 JOHN ST
NEW YORK, NY 10038
New York County (917) 804-1131
DR. LYDIA GARDNER D.M.D.
Dentist (Periodontics)
99 JOHN ST, 1608
NEW YORK, NY 10038
New York County (443) 306-6392
MR. VO DUONG R.PH
Pharmacist
99 JOHN ST
NEW YORK, NY 10038
New York County (212) 791-3801
DR. MAYA BALAKRISHNAN PURI MD
Psychiatry & Neurology (Psychiatry)
99 JOHN ST, APT 814
NEW YORK, NY 10038
New York County (713) 277-4455

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 Ruvini Wijetilaka's NPI number?

The NPI number for Ruvini Wijetilaka is 1194003582. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Ruvini Wijetilaka located?

Ruvini Wijetilaka practices at 99 John St, New York, NY 10038. The listed phone number is (201) 747-1141.

What is Ruvini Wijetilaka's specialty?

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

Is Ruvini Wijetilaka enrolled in Medicare?

No. Ruvini Wijetilaka has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ruvini Wijetilaka was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.