JALIYA TEHAN DASSANAYAKA
NPI 1639972185
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 31, 2025PECOS Enrolled
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(571) 550-5525 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 20, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Jaliya Tehan Dassanayaka NPPES

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

JALIYA TEHAN DASSANAYAKA (NPI 1639972185) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1639972185
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJALIYA TEHAN DASSANAYAKA
Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1639972185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaliya Tehan Dassanayaka 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.

Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287

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 Jaliya Dassanayaka's NPI number?

The NPI number for Jaliya Dassanayaka is 1639972185. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jaliya Dassanayaka located?

Jaliya Dassanayaka practices at 1830 E Monument St Ste 6-100, Baltimore, MD 21287. The listed phone number is (571) 550-5525.

What is Jaliya Dassanayaka's specialty?

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

Is Jaliya Dassanayaka enrolled in Medicare?

Yes. Jaliya Dassanayaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaliya Dassanayaka was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.