KONARA MUDIYANSELAGE SACHITH BANDARA MD
NPI 1659753432
Internal Medicine in Rochester, NY
About Konara Mudiyanselage Sachith Bandara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KONARA MUDIYANSELAGE SACHITH BANDARA MD (NPI 1659753432) is an individual internal medicine provider in Rochester, New York, licensed in Georgia (85021) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and maintains a secondary practice location in Newark.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Konara Mudiyanselage Sachith Bandara Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Konara Mudiyanselage Bandara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Konara Mudiyanselage Bandara's NPI number?
The NPI number for Konara Mudiyanselage Bandara is 1659753432. It was assigned to this individual provider in the NPPES registry on June 29, 2015.
Where is Konara Mudiyanselage Bandara located?
Konara Mudiyanselage Bandara practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4829.
What is Konara Mudiyanselage Bandara's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Konara Mudiyanselage Bandara enrolled in Medicare?
Yes. Konara Mudiyanselage Bandara 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 Konara Mudiyanselage Bandara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Konara Mudiyanselage Bandara reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). 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 Konara Mudiyanselage Bandara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Konara Mudiyanselage Bandara accept?
Health plans from Ambetter Health and Oscar Health list Konara Mudiyanselage Bandara 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 Konara Mudiyanselage Bandara affiliated with any hospitals?
According to CMS data, Konara Mudiyanselage Bandara is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.
When was this NPI record last updated?
The NPPES record for Konara Mudiyanselage Bandara was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Konara Mudiyanselage Sachith Bandara, MD · NPI 1659753432
Internal Medicine physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 29, 2015.
## Identity
- **NPI:** 1659753432 (Entity type: Individual)
- **Enumerated:** June 29, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 85021 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621
- **Phone:** (585) 922-4829
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1659753432) · Data from the CMS NPPES public registry.