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SANDRA APEKSHA WIJEKULARATNE MD
NPI 1407476054
Internal Medicine in Tucson, AZ

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
2300 S HOUGHTON RD STE 120, TUCSON, AZ 85748(520) 989-8020(520) 989-8028 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Jul 28, 2023, Jun 26, 2020 and 1 more (4 updates tracked since 2020).

About Sandra Apeksha Wijekularatne Md NPPES

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

SANDRA APEKSHA WIJEKULARATNE MD (NPI 1407476054) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (69374) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407476054
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDRA APEKSHA WIJEKULARATNECredential: MD
Location Address2300 S HOUGHTON RD STE 120Tucson, AZ 85748-0002
Mailing Address2300 S Houghton Rd Ste 120Tucson, AZ 85748-0046 · (520) 989-8020 · Fax (520) 989-8028
Phone(520) 989-8020
Fax(520) 989-8028
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2020
Last NPPES UpdateAugust 23, 20254 updates tracked since enumeration
NPPES CertifiedAugust 23, 2025
✔ NPI 1407476054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 69374
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.
2300 S HOUGHTON RD STE 120, Tucson, AZ 85748
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Sandra Apeksha Wijekularatne Md 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 ID8224459680
PECOS Enrollment IDI20230824003739
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 9

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.
232 services121 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
57 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
46 services33 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.
44 services44 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.
40 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85748 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.70 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
1 supplier11 claims11 services$63.45 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 3

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

CARYL S. GORMAN MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2300 S HOUGHTON RD STE 120
TUCSON, AZ 85748
Pima County (520) 989-8028
LOUISA AKOSUA ASARE MD
Internal Medicine
2300 S HOUGHTON RD STE 120
TUCSON, AZ 85748
Pima County (520) 989-8020
JUSTIN THOMAS LUCIA PA-C
Physician Assistant (Medical)
2300 S HOUGHTON RD STE 120
TUCSON, AZ 85748
Pima County (520) 543-6100

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 Sandra Wijekularatne's NPI number?

The NPI number for Sandra Wijekularatne is 1407476054. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Sandra Wijekularatne located?

Sandra Wijekularatne practices at 2300 S Houghton Rd Ste 120, Tucson, AZ 85748. The listed phone number is (520) 989-8020.

What is Sandra Wijekularatne's specialty?

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

Is Sandra Wijekularatne enrolled in Medicare?

Yes. Sandra Wijekularatne 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 Sandra Wijekularatne accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Sandra Wijekularatne 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.

When was this NPI record last updated?

The NPPES record for Sandra Wijekularatne was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.