RAHAL BALASURIYA
NPI 1679069462
Student in an Organized Health Care Education/Training Program in Johnson City, NY

Q: What is Rahal Balasuriya's NPI number?

The NPI number for Rahal Balasuriya is 1679069462. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Rahal Balasuriya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rahal Balasuriya was last updated on July 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2018PECOS Enrolled

507 MAIN ST, JOHNSON CITY, NY 13790(607) 763-6075 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rahal Balasuriya NPPES

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

RAHAL BALASURIYA (NPI 1679069462) is an individual student in an organized health care education/training program in Johnson City, New York and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679069462

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRAHAL BALASURIYA

Location Address507 MAIN STJohnson City, NY 13790-1810

Mailing Address507 Main StJohnson City, NY 13790-1810 · (607) 763-6075

Phone(607) 763-6075

Sole ProprietorYes

Enumeration DateJuly 5, 2018

✔ NPI 1679069462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

507 MAIN ST, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rahal Balasuriya 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.

ROY D GILL MD

Internal Medicine