DR. ISURU SAMPATH JAYARATNA M.D.
NPI 1578884128
Urology in Jacksonville, FL

Q: What is Isuru Jayaratna's NPI number?

The NPI number for Isuru Jayaratna is 1578884128. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Isuru Jayaratna's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Isuru Jayaratna was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment

1301 PALM AVE STE 500, JACKSONVILLE, FL 32207(904) 202-7300(904) 202-2754 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2026, Mar 17, 2018 (2 updates tracked since 2018).

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About Dr. Isuru Sampath Jayaratna M.d. NPPES

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

DR. ISURU SAMPATH JAYARATNA M.D. (NPI 1578884128) is an individual urology provider in Jacksonville, Florida, licensed in Florida (ME178653) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1578884128

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ISURU SAMPATH JAYARATNACredential: M.D.

Location Address1301 PALM AVE STE 500Jacksonville, FL 32207-8457

Mailing AddressPo Box 746654Atlanta, GA 30374-6654 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-7300

Fax(904) 202-2754

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJune 17, 2010

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1578884128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME178653

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1301 PALM AVE STE 500, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 114546 Old Saint Augustine Rd Ste 2307Jacksonville, FL 32258-5468 · Phone (904) 202-7300 · Fax (904) 202-2754

Other Identifiers 2

Medicaid130293200FL

Medicaid349374401 (MDACC)TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Isuru Sampath Jayaratna M.d. 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 ID7113158312

PECOS Enrollment IDI20170616000204, I20260410000422

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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TIFFANY A PAPEIKA PA-C

Physician Assistant