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DR. CHATHURA SANKALPA WIJEWARDENA M.D
NPI 1659807097
Internal Medicine - Rheumatology in Orchard Park, NY

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
3055 SOUTHWESTERN BLVD STE 100, ORCHARD PARK, NY 14127(716) 675-2500 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, May 30, 2025, Jul 12, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Chathura Sankalpa Wijewardena M.d NPPES

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

DR. CHATHURA SANKALPA WIJEWARDENA M.D (NPI 1659807097) is an individual rheumatology provider in Orchard Park, New York, licensed in New York (334407) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659807097
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CHATHURA SANKALPA WIJEWARDENACredential: M.D
Location Address3055 SOUTHWESTERN BLVD STE 100Orchard Park, NY 14127-1231
Mailing Address3055 Southwestern Blvd Ste 100Orchard Park, NY 14127-1231
Phone(716) 675-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateNovember 7, 20254 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1659807097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 334407
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3055 SOUTHWESTERN BLVD STE 100, Orchard Park, NY 14127
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13500 Sheridan DrAmherst, NY 14226-1548 · Phone (716) 204-4263
Location 2462 Grider Street, ECMC/DK Miller BuildingBuffalo, NY 14215 · Phone (716) 898-3941

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chathura Sankalpa Wijewardena 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 ID7315284726
PECOS Enrollment IDI20220811001631, I20250905000991
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
416 services204 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services12 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 4

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

MR. MICHAEL JAMES FENNELL II PA-C
Physician Assistant
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
NOAH C BOURNE DNP, AGPCNP-BC
Nurse Practitioner (Adult Health)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
DR. LINDA M BURNS D.O.
Internal Medicine
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
AMAR OZA M.D.
Internal Medicine (Rheumatology)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500

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 Chathura Wijewardena's NPI number?

The NPI number for Chathura Wijewardena is 1659807097. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Chathura Wijewardena located?

Chathura Wijewardena practices at 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127. The listed phone number is (716) 675-2500.

What is Chathura Wijewardena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Chathura Wijewardena enrolled in Medicare?

Yes. Chathura Wijewardena 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.

What insurance does Chathura Wijewardena accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Chathura Wijewardena 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 Chathura Wijewardena affiliated with any hospitals?

According to CMS data, Chathura Wijewardena is affiliated with King's Daughters' Medical Center and Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Chathura Wijewardena was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.