DR. SASHI WETTIMUNY D.O.
NPI 1609021005
Internal Medicine - Critical Care Medicine in Staten Island, NY

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment
118 SAINT ANDREWS RD, STATEN ISLAND, NY 10306(718) 555-5566 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Jul 9, 2021, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Sashi Wettimuny D.o. NPPES

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

DR. SASHI WETTIMUNY D.O. (NPI 1609021005) is an individual critical care medicine provider in Staten Island, New York, licensed in New Jersey (25MB09417700) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609021005
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SASHI WETTIMUNYCredential: D.O.
Location Address118 SAINT ANDREWS RDStaten Island, NY 10306-1510
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateNovember 26, 2008
Last NPPES UpdateMarch 6, 20256 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1609021005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in NJ · 25MB09417700✔ Licensed in NY · 253810
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
118 SAINT ANDREWS RD, Staten Island, NY 10306

Secondary Practice Locations 2

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550
Location 297 W ParkwayPompton Plains, NJ 07444-1647 · Phone (973) 831-5155

Accepted 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. Sashi Wettimuny D.o. 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 ID547430373
PECOS Enrollment IDI20140303001079
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

9

Medicare enrollment records show Sashi Wettimuny reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
346 OAKDALE ST
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Critical Care Medicine
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
Hospitalist
250 OLD HOOK ROAD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
Neurology
2454 N MCMULLEN BOOTH RD STE 606
Clearwater, FL 33759
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
1,038 mi
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
526 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
71 services41 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
37 services37 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.
33 services25 patients
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.
24 services19 patients

Hospital Affiliations CMS Care Compare

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

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sashi Wettimuny's NPI number?

The NPI number for Sashi Wettimuny is 1609021005. It was assigned to this individual provider in the NPPES registry on November 26, 2008.

Where is Sashi Wettimuny located?

Sashi Wettimuny practices at 118 Saint Andrews Rd, Staten Island, NY 10306. The listed phone number is (718) 555-5566.

What is Sashi Wettimuny's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sashi Wettimuny enrolled in Medicare?

Yes. Sashi Wettimuny 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 Sashi Wettimuny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sashi Wettimuny reassigns Medicare benefits to 9 organizations: Swettimuny Medical, PLLC (Staten Island, NY), Garden State Healthcare Associates, LLC (Bayonne, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Secaucus Physician Associates (Secaucus, NJ), Practice Associates Medical Group (Morristown, NJ) and 4 more organizations, listed in the Medicare section above. 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 Sashi Wettimuny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sashi Wettimuny accept?

Health plans from Oscar Health list Sashi Wettimuny 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 Sashi Wettimuny affiliated with any hospitals?

According to CMS data, Sashi Wettimuny is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Sashi Wettimuny was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.