SURESH JAYANTHA DESILVA MD
NPI 1356304869
Emergency Medicine in Cornelius, NC

Active since April 07, 2006PECOS Enrolled
21332 NAUTIQUE BLVD, APT # 204, CORNELIUS, NC 28031(704) 650-3789 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suresh Jayantha Desilva Md NPPES

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

SURESH JAYANTHA DESILVA MD (NPI 1356304869) is an individual emergency medicine provider in Cornelius, North Carolina, licensed in Nevada (13961) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore Health, and is a graduate of Wake Forest University School Of Medicine (1993).

NPPES Registry Identity

NPI1356304869
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSURESH JAYANTHA DESILVACredential: MD
Location Address21332 NAUTIQUE BLVD, APT # 204Cornelius, NC 28031-6410
Mailing Address21332 Nautique Blvd, Apt # 204Cornelius, NC 28031-6410 · (704) 650-3789
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 1993
Enumeration DateApril 7, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1356304869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · 13961✔ Licensed in NC · 00971315
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
21332 NAUTIQUE BLVD, Cornelius, NC 28031

Other Names 1

Other Name (5)Jay Jayantha Desilva Md

Other Identifiers 2

Medicaid89107OLNC
Other2246349FNC · Medicare Part B Provider #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suresh Jayantha Desilva Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385619972
PECOS Enrollment IDI20080409000542
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

14

Medicare enrollment records show Suresh Desilva reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
Emergency Medicine
607 BEAMAN ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 clinicians in this Medicare group
Rural Health
375 MAIN ST
Birnamwood, WI 54414
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1639187412 (Wisconsin)
  • 321 clinicians in this Medicare group
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
General Acute Care Hospital
855 MANKATO AVE
Winona, MN 55987
  • Reassigned Medicare billing, Minnesota enrollment
  • 330 clinicians in this Medicare group
Critical Access
1120 PINE ST
Stanley, WI 54768
  • Reassigned Medicare billing, Wisconsin enrollment
  • 168 clinicians in this Medicare group
Critical Access
1430 NORTH HWY
Jackson, MN 56143
  • Reassigned Medicare billing, Minnesota enrollment
  • 44 clinicians in this Medicare group
Critical Access
515 5TH AVE W
Grand Marais, MN 55604
  • Reassigned Medicare billing, Minnesota enrollment
  • 81 clinicians in this Medicare group
Critical Access Hospital
1542 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 clinicians in this Medicare group
Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28031 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Suresh Desilva's NPI number?

The NPI number for Suresh Desilva is 1356304869. It was assigned to this individual provider in the NPPES registry on April 7, 2006. The provider is also known as Jay Jayantha Desilva MD.

Where is Suresh Desilva located?

Suresh Desilva practices at 21332 Nautique Blvd Apt # 204, Cornelius, NC 28031. The listed phone number is (704) 650-3789.

What is Suresh Desilva's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Suresh Desilva enrolled in Medicare?

Yes. Suresh Desilva is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suresh Desilva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suresh Desilva reassigns Medicare benefits to 14 organizations: The Carolinas Emergency Group, PLLC (Dunn, NC), Sampson Regional Emergency Professional Services, LLC (Clinton, NC), Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin (Birnamwood, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI), Winona Health Services (Winona, MN) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suresh Desilva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suresh Desilva accept?

Health plans from Cigna Healthcare list Suresh Desilva 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 Suresh Desilva affiliated with any hospitals?

According to CMS data, Suresh Desilva is affiliated with North Shore Health and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Suresh Desilva was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.