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DR. ISHAN A GUNAWARDENE M.D
NPI 1265453245
Internal Medicine in Wellington, FL

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
3347 STATE ROAD 7, SUITE-206, WELLINGTON, FL 33467(561) 537-4820(561) 434-3169 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ishan A Gunawardene M.d NPPES

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

DR. ISHAN A GUNAWARDENE M.D (NPI 1265453245) is an individual internal medicine provider in Wellington, Florida, licensed in Florida (ME81674) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265453245
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ISHAN A GUNAWARDENECredential: M.D
Location Address3347 STATE ROAD 7, SUITE-206Wellington, FL 33467-0000
Mailing Address3347 State Road 7, Suite-206Wellington, FL 33467-0000 · (561) 537-4820 · Fax (561) 434-3169
Phone(561) 537-4820
Fax(561) 434-3169
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 22, 2006
Last NPPES UpdateOctober 14, 2010
✔ NPI 1265453245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME81674
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.

3347 STATE ROAD 7, Wellington, FL 33467
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Other Identifiers 3

Medicare ID-Type UnspecifiedE5315YFL · Medicare Id
Medicaid260777800FL
Medicare UPING18512FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Ishan A Gunawardene 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 ID5092745679
PECOS Enrollment IDI20051130000535
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 14

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.

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.
355 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services152 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
160 services160 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
157 services157 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.
153 services153 patients
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.
96 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Lakeside Medical Center

Acute Care Hospitals · Belle Glade, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100130
Location39200 Hooker HwyBelle Glade, FL 33430 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33467 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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…
35%51 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%152 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%135 patients5/55-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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier22 claims22 services$50.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$13.94 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier22 claims22 services$4.21 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 suppliers11 claims11 services$72.06 avg. paid by Medicare
Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier26 claims51 services$54.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier26 claims26 services$18.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ishan Gunawardene's NPI number?

The NPI number for Ishan Gunawardene is 1265453245. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Ishan Gunawardene located?

Ishan Gunawardene practices at 3347 State Road 7 Suite-206, Wellington, FL 33467. The listed phone number is (561) 537-4820.

What is Ishan Gunawardene's specialty?

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

Is Ishan Gunawardene enrolled in Medicare?

Yes. Ishan Gunawardene 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 Ishan Gunawardene accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 4 other insurers list Ishan Gunawardene 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 Ishan Gunawardene affiliated with any hospitals?

According to CMS data, Ishan Gunawardene is affiliated with Hca Florida Jfk Hospital and Lakeside Medical Center.

When was this NPI record last updated?

The NPPES record for Ishan Gunawardene was last updated on October 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.