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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MABODAWILAGE GANGA HEMATILLAKE MD
NPI 1407967821
Internal Medicine in Altoona, PA

Active since August 31, 2006PECOS Enrolled
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602(814) 943-8164 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Jul 3, 2018 (2 updates tracked since 2018).

About Dr. Mabodawilage Ganga Hematillake Md NPPES

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

DR. MABODAWILAGE GANGA HEMATILLAKE MD (NPI 1407967821) is an individual internal medicine provider in Altoona, Pennsylvania, licensed in California (C149813) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407967821
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MABODAWILAGE GANGA HEMATILLAKECredential: MD
Location Address2907 PLEASANT VALLEY BLVDAltoona, PA 16602-4305
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8017 · Fax (805) 361-8097
Phone(814) 943-8164
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1407967821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C149813✔ Licensed in ID · M8520✔ Licensed in UT · 379576-1205✔ Licensed in PA · MD428463
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.
2907 PLEASANT VALLEY BLVD, Altoona, PA 16602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mabodawilage Ganga Hematillake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers49 claims86 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims17 services$1.17 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 20

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

CYNTHIA LETIZIA LCSW
Social Worker (Clinical)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (814) 943-8164
DR. ADAM EDWARD LANG PHARMD
Pharmacist (Ambulatory Care)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (877) 626-2500
SARAH RENEE KANTOSKI
Radiologic Technologist (Computed Tomography)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (877) 626-2500
MS. JENNIFER LYNN FRIEDL PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (814) 943-8164
CASEY SABELLA LPN
Licensed Practical Nurse
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (877) 626-2500
DR. JOSEPH LAWRENCE KLOBUKA DMD
Dentist (General Practice)
2907 PLEASANT VALLEY BLVD, VA MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 940-7820
TODD DANIEL NEGOLA PSY.D.
Psychologist (Clinical)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (814) 943-8164
RENEE SHANDOR LSW
Social Worker (Clinical)
2907 PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Blair County (814) 943-8164

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 Mabodawilage Hematillake's NPI number?

The NPI number for Mabodawilage Hematillake is 1407967821. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mabodawilage Hematillake located?

Mabodawilage Hematillake practices at 2907 Pleasant Valley Blvd, Altoona, PA 16602. The listed phone number is (814) 943-8164.

What is Mabodawilage Hematillake's specialty?

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

Is Mabodawilage Hematillake enrolled in Medicare?

Yes. Mabodawilage Hematillake is registered in the Medicare PECOS enrollment system.

What insurance does Mabodawilage Hematillake accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mabodawilage Hematillake 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 Mabodawilage Hematillake was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.