RAJIKA MUNASINGHE MD
NPI 1497706790
Internal Medicine in Southfield, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
68.49/100
CMS Quality Rating
26677 W 12 MILE RD # B6, SOUTHFIELD, MI 48034(248) 354-4709(248) 354-4807 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rajika Munasinghe Md NPPES

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

RAJIKA MUNASINGHE MD (NPI 1497706790) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (RM063750) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1497706790
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJIKA MUNASINGHECredential: MD
Location Address26677 W 12 MILE RD # B6Southfield, MI 48034-1514
Mailing AddressPo Box 674147Detroit, MI 48267-4147 · (248) 354-4709 · Fax (248) 354-4807
Fax(248) 354-4807
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
NPI 1497706790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · RM063750
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.

26677 W 12 MILE RD # B6, Southfield, MI 48034

Other Identifiers 5

Other1346398971MI · Grp Npi
Other7539118MI · Aetna Id
Other110F336360MI · Bcbsm Grp Pin
OtherRM063750MI · License
Medicaid104722855MI

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

Rajika Munasinghe 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 ID4981660776
PECOS Enrollment IDI20041203000216
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
490 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
177 services159 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
175 services77 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
158 services146 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

68.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.95
Improvement Activities40
Cost43.4

Other Providers at the Same Location NPPES 9

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

Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034
Internal Medicine
26677 W 12 MILE RD # B6
SOUTHFIELD, MI 48034

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 Rajika Munasinghe's NPI number?

The NPI number for Rajika Munasinghe is 1497706790. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Rajika Munasinghe located?

Rajika Munasinghe practices at 26677 W 12 Mile Rd # B6, Southfield, MI 48034. The listed phone number is (248) 354-4709.

What is Rajika Munasinghe's specialty?

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

Is Rajika Munasinghe enrolled in Medicare?

Yes. Rajika Munasinghe 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 Rajika Munasinghe accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Rajika Munasinghe 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 Rajika Munasinghe affiliated with any hospitals?

According to CMS data, Rajika Munasinghe is affiliated with Henry Ford Macomb Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Rajika Munasinghe was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.