DR. CHITRA FERNANDO M.D.
NPI 1659598688
Internal Medicine - Geriatric Medicine in San Ysidro, CA

Q: What is Chitra Fernando's NPI number?

The NPI number for Chitra Fernando is 1659598688. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Chitra Dissanayake M.D..

Q: What is Chitra Fernando's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Chitra Fernando was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 19, 2007PECOS Enrolled

79.16/100

CMS Quality Rating

3364 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2023, May 18, 2023 (2 updates tracked since 2023).

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About Dr. Chitra Fernando M.d. NPPES

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

DR. CHITRA FERNANDO M.D. (NPI 1659598688) is an individual geriatric medicine provider in San Ysidro, California, licensed in California (C186861) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659598688

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDR. CHITRA FERNANDOCredential: M.D.

Location Address3364 BEYER BLVDSan Ysidro, CA 92173-1322

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100

Phone(619) 662-4100

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateJune 9, 20232 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1659598688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Licenses✔ Licensed in CA · C186861✔ Licensed in WA · MD 60020402

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 42635 (TN)

3364 BEYER BLVD, San Ysidro, CA 92173

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Other Names 1

Former Name (1)Chitra Dissanayake M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chitra Fernando 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.

Medicare Billing Reassignments

Medicare enrollment records show Chitra Fernando reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD, SUITE #102 & #103
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1265843122 (619) 662-4100

Overlake Medical Clinics, LLC

1,073 mi

Specialist

1135 116TH AVE NE, SUITE 110
Bellevue, WA 98004

Reassigned Medicare billing, Washington enrollment
566 clinicians in this Medicare group

NPI 1801828421 (425) 688-5670

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

79.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.53

Promoting Interoperability

100

Improvement Activities

Cost

56.02

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers36 claims85 services$5.74 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers17 claims21 services$1.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

NICOLE RENTERIA RN

Registered Nurse

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

MARYLUPE FLORES LCSW

Social Worker (Clinical)

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

EKATERINA CHAUSSE CASTRO NP

Nurse Practitioner (Family)

3364 BEYER BLVD
SAN DIEGO, CA 92173

San Diego County (619) 205-4585

BALWINDER K SHUKLA

Nurse Practitioner (Family)

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD, SUITE #102 & #103
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

CONNIE FU MA

Pharmacist

3364 BEYER BLVD
SAN DIEGO, CA 92173

San Diego County (619) 205-4585

WILBUR ADRIAN DIENTE BARSANA

Physical Therapy Assistant

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

SAN DIEGO PACE, LLC

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

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 Chitra Fernando's NPI number?

The NPI number for Chitra Fernando is 1659598688. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Chitra Dissanayake M.D..

Where is Chitra Fernando located?

Chitra Fernando practices at 3364 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Chitra Fernando's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Chitra Fernando enrolled in Medicare?

Yes. Chitra Fernando is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chitra Fernando's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chitra Fernando reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (San Ysidro, CA) and Overlake Medical Clinics, LLC (Bellevue, WA). 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 Chitra Fernando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chitra Fernando was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.