ASITHA DINETH LIBBEY JAYAWARDENA MD, MPH
NPI 1689093460
Otolaryngology - Pediatric Otolaryngology in Minneapolis, MN
About Asitha Dineth Libbey Jayawardena Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASITHA DINETH LIBBEY JAYAWARDENA MD, MPH (NPI 1689093460) is an individual pediatric otolaryngology provider in Minneapolis, Minnesota, licensed in Minnesota (NA) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2014).
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 (PECOS)
Asitha Dineth Libbey Jayawardena Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Asitha Jayawardena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 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.
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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 Asitha Jayawardena's NPI number?
The NPI number for Asitha Jayawardena is 1689093460. It was assigned to this individual provider in the NPPES registry on April 9, 2014.
Where is Asitha Jayawardena located?
Asitha Jayawardena practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 874-1292.
What is Asitha Jayawardena's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Asitha Jayawardena enrolled in Medicare?
Yes. Asitha Jayawardena is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Asitha Jayawardena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Asitha Jayawardena reassigns Medicare benefits to 3 organizations: Childrens Health Care (Minneapolis, MN), Fairview Express Care (Minneapolis, MN) and Fairview Health Services (Minneapolis, MN). 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 Asitha Jayawardena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Asitha Jayawardena accept?
Health plans from HealthPartners list Asitha Jayawardena 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.
When was this NPI record last updated?
The NPPES record for Asitha Jayawardena was last updated on May 16, 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.
# Asitha Dineth Libbey Jayawardena, MD, MPH · NPI 1689093460
Pediatric Otolaryngology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 9, 2014.
## Identity
- **NPI:** 1689093460 (Entity type: Individual)
- **Enumerated:** April 9, 2014
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** NA (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CHICAGO AVE, Minneapolis, MN 55404-4518
- **Phone:** (612) 874-1292 · **Fax:** (612) 813-6889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Childrens Health Care (NPI 1053410928, Minneapolis, MN); Fairview Express Care (NPI 1053952606, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** May 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689093460) · Data from the CMS NPPES public registry.