MALITHA SAMANTHIKA HETTIARACHCHI M.D.
NPI 1295003564
Internal Medicine in Southfield, MI

Q: What is Malitha Hettiarachchi's NPI number?

The NPI number for Malitha Hettiarachchi is 1295003564. It was assigned to this individual provider in the NPPES registry on December 1, 2011. The provider is also known as Eriware Mahadurage Hettiarachchi M.D..

Q: What is Malitha Hettiarachchi's specialty?

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

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment

68.49/100

CMS Quality Rating

26677 W 12 MILE RD # B6, SOUTHFIELD, MI 48034(248) 354-4709(248) 354-4807 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Sep 29, 2022 (2 updates tracked since 2022).

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About Malitha Samanthika Hettiarachchi M.d. NPPES

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

MALITHA SAMANTHIKA HETTIARACHCHI M.D. (NPI 1295003564) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301092203) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295003564

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMALITHA SAMANTHIKA HETTIARACHCHICredential: M.D.

Location Address26677 W 12 MILE RD # B6Southfield, MI 48034-1514

Mailing AddressPo Box 674147Detroit, MI 48267-4147 · (248) 354-4709 · Fax (248) 354-4807

Phone(248) 354-4709

Fax(248) 354-4807

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateDecember 1, 2011

Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1295003564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301092203

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.

26677 W 12 MILE RD # B6, Southfield, MI 48034

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Other Names 1

Professional Name (2)Eriware Mahadurage Hettiarachchi M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Malitha Samanthika Hettiarachchi 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 ID3870755234

PECOS Enrollment IDI20120501000169, I20250821004468

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 7

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.

214 services68 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.

69 services40 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.

64 services64 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.

59 services55 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.

20 services18 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230024

Location6071 W Outer DriveDetroit, MI 48235 · Wayne County

Emergency services Birthing friendly

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230055

Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County

Emergency services Birthing friendly

Adventhealth Rollins Brook

Critical Access Hospitals · Lampasas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451323

Location608 North Key AvenueLampasas, TX 76550 · Lampasas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

68.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.95

Improvement Activities

Cost

43.4

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.

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$66.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$28.35 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 9

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

DR. ELENA N JDANOVA M.D.

Internal Medicine