LABUTALE WALAWWE RAJAGURU PA-C
NPI 1346006772
Physician Assistant in Superior, WI
About Labutale Walawwe Rajaguru Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LABUTALE WALAWWE RAJAGURU PA-C (NPI 1346006772) is an individual physician assistant in Superior, Wisconsin, licensed in Wisconsin (7735) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with St Marys Hospital Superior, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Labutale Walawwe Rajaguru Pa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Marys Hospital Superior
Critical Access Hospitals · Superior, WISpooner Health System
Critical Access Hospitals · Spooner, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54880 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.
SUPERIOR, WI 54880
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 Labutale Walawwe Rajaguru's NPI number?
The NPI number for Labutale Walawwe Rajaguru is 1346006772. It was assigned to this individual provider in the NPPES registry on February 23, 2024. The provider is also known as Udara Rajaguru Pa-C.
Where is Labutale Walawwe Rajaguru located?
Labutale Walawwe Rajaguru practices at 3500 Tower Ave, Superior, WI 54880. The listed phone number is (715) 817-7100.
What is Labutale Walawwe Rajaguru's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Labutale Walawwe Rajaguru enrolled in Medicare?
Yes. Labutale Walawwe Rajaguru 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 Labutale Walawwe Rajaguru accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Labutale Walawwe Rajaguru 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 Labutale Walawwe Rajaguru affiliated with any hospitals?
According to CMS data, Labutale Walawwe Rajaguru is affiliated with St Marys Hospital Superior and Spooner Health System.
When was this NPI record last updated?
The NPPES record for Labutale Walawwe Rajaguru was last updated on February 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.