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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Isuru Jayaratna reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist MD Anderson Cancer Physicians Inc
0.1 mi
Hematology & Oncology
1235 SAN MARCO BLVD, SUITE 2
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 106 clinicians in this Medicare group
NPI 1538593124 (904) 202-7300
Icahn School Of Medicine At Mount Sinai
841 mi
Urgent Care
7901 BROADWAY RM A1-19
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1346721289 (718) 334-4816
Icahn School Of Medicine At Mount Sinai
842 mi
Urology
5 E 98TH ST FL 6, BOX 1272
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1750647152 (212) 241-4812
United Health Services Hospitals, Inc.
873 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · 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.

MEGHAN KENNEDY HALL PA-C
Physician Assistant
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
AMY DAWN DUGAN PA-C
Physician Assistant
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
KONSTANTINOS CHOULIARAS M.D.
Surgery (Surgical Oncology)
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. BARRETT ZACHARY MCCORMICK M.D.
Urology
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. NIRAJ JAYSUKH GUSANI MD
Surgery (Surgical Oncology)
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. GREGOR WERBA MD
Surgery (Surgical Oncology)
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
JONATHAN JAY MELQUIST MD
Urology
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
LAEL STIEGLITZ MD
Urology
1301 PALM AVE STE 500
JACKSONVILLE, FL 32207
Duval County (904) 202-7300

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 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.

Where is Isuru Jayaratna located?

Isuru Jayaratna practices at 1301 Palm Ave Ste 500, Jacksonville, FL 32207. The listed phone number is (904) 202-7300.

What is Isuru Jayaratna's specialty?

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

Is Isuru Jayaratna enrolled in Medicare?

Yes. Isuru Jayaratna 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.

Which organizations bill Medicare for Isuru Jayaratna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isuru Jayaratna reassigns Medicare benefits to 4 organizations: Baptist MD Anderson Cancer Physicians Inc (Jacksonville, FL), Icahn School Of Medicine At Mount Sinai (Elmhurst, NY), Icahn School Of Medicine At Mount Sinai (New York, NY) and United Health Services Hospitals, Inc. (Johnson City, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Isuru Jayaratna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isuru Jayaratna accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Isuru Jayaratna 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 Isuru Jayaratna affiliated with any hospitals?

According to CMS data, Isuru Jayaratna is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Isuru Jayaratna was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.