RUVINI GOONATHILAKE JAYAWARDENA MD
NPI 1417644881
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 18, 2023PECOS Enrolled
3901 BEAUBIEN BLVD., 3T72 PEDIATRIC EDUCATION OFFICE, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ruvini Goonathilake Jayawardena Md NPPES

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

RUVINI GOONATHILAKE JAYAWARDENA MD (NPI 1417644881) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417644881
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRUVINI GOONATHILAKE JAYAWARDENACredential: MD
Location Address3901 BEAUBIEN BLVD., 3T72 PEDIATRIC EDUCATION OFFICEDetroit, MI 48201-2119
Mailing Address430 N Caldwell St Apt 105Charlotte, NC 28202-2573 · (704) 780-7695
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
NPI 1417644881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 BEAUBIEN BLVD., Detroit, MI 48201

Other Names 1

Former Name (1)Mastiyage D Ruvini Goonathilake Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ruvini Goonathilake Jayawardena 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.

Other Providers at the Same Location NPPES 6

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

Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN, PEDIATRIC EDUCATION DE
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD.
DETROIT, MI 48201
Audiologist
3901 BEAUBIEN BLVD.
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN, PEDIATRIC EDUCATION DE
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI 48201

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 Ruvini Jayawardena's NPI number?

The NPI number for Ruvini Jayawardena is 1417644881. It was assigned to this individual provider in the NPPES registry on April 18, 2023. The provider is also known as Mastiyage D Ruvini Goonathilake MD.

Where is Ruvini Jayawardena located?

Ruvini Jayawardena practices at 3901 Beaubien Blvd. 3t72 Pediatric Education Office, Detroit, MI 48201. The listed phone number is (313) 745-5533.

What is Ruvini Jayawardena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ruvini Jayawardena enrolled in Medicare?

Yes. Ruvini Jayawardena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruvini Jayawardena was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.