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KORALEGE KUMUDU BUDDHINI PERERA JAYATILAKA M.D.
NPI 1518804566
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 29, 2026PECOS Enrolled
22201 MOROSS RD, SUITE 50, DETROIT, MI 48236(313) 343-7774(313) 343-8747 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Koralege Kumudu Buddhini Perera Jayatilaka M.d. NPPES

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

KORALEGE KUMUDU BUDDHINI PERERA JAYATILAKA M.D. (NPI 1518804566) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518804566
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKORALEGE KUMUDU BUDDHINI PERERA JAYATILAKACredential: M.D.
Location Address22201 MOROSS RD, SUITE 50Detroit, MI 48236
Mailing Address22201 Moross Rd, Suite 50Detroit, MI 48236 · (313) 343-7774 · Fax (313) 343-8747
Phone(313) 343-7774
Fax(313) 343-8747
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1518804566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
22201 MOROSS RD, Detroit, MI 48236
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koralege Kumudu Buddhini Perera Jayatilaka M.d. 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 20

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

RUDOLPH MENCHL JR. MD
Internal Medicine
22201 MOROSS RD, SUITE 150
DETROIT, MI 48236
Wayne County (313) 886-8787
DR. SAJITHAA VARADARASA M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DEEPAK GOPALBHAI PATEL MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
DR. ANDREY ALEX VOLKOV D.O
Neurological Surgery
22201 MOROSS RD, SUITE 352
DETROIT, MI 48236
Wayne County (313) 343-7900
JOHN THOMAS ADAMS MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
ST. JOHN HOSPITAL & MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
ST. JOHN HOSPITAL AND MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
NATALIE RENEE KONTOS DO
Pediatrics
22201 MOROSS RD, PROFESSIONAL BUILDING 2, SUITE 70
DETROIT, MI 48236
Wayne County (313) 343-4279

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 Koralege Kumudu Jayatilaka's NPI number?

The NPI number for Koralege Kumudu Jayatilaka is 1518804566. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Koralege Kumudu Jayatilaka located?

Koralege Kumudu Jayatilaka practices at 22201 Moross Rd Suite 50, Detroit, MI 48236. The listed phone number is (313) 343-7774.

What is Koralege Kumudu Jayatilaka's specialty?

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

Is Koralege Kumudu Jayatilaka enrolled in Medicare?

Yes. Koralege Kumudu Jayatilaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koralege Kumudu Jayatilaka was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.