ASITHA DINETH LIBBEY JAYAWARDENA MD, MPH
NPI 1689093460
Otolaryngology - Pediatric Otolaryngology in Minneapolis, MN

Q: 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.

Q: What is Asitha Jayawardena's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Active since April 09, 2014PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 874-1292(612) 813-6889 Get Directions Write a Review

NPPES record last updated: May 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1689093460

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameASITHA DINETH LIBBEY JAYAWARDENACredential: MD, MPH

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 874-1292 · Fax (612) 813-6889

Phone(612) 874-1292

Fax(612) 813-6889

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateMay 16, 2020

NPPES CertifiedMay 16, 2020

✔ NPI 1689093460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in MN · NA

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2525 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 17209 Medical Center East South Tower, 1215 21st Avenue SouthNashville, TN 37232-8605 · Phone (615) 343-6972

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Asitha Dineth Libbey Jayawardena Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901108596

PECOS Enrollment IDI20200626001664

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.

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Social Worker (Clinical)