DR. RUKMALEE ERANDIKA VITHANA
NPI 1689932188
Pediatrics in Baltimore, MD

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
1800 ORLEANS ST RM M2303, BALTIMORE, MD 21287(410) 955-5987(410) 955-8718 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Feb 2, 2021, Mar 12, 2020 (3 updates tracked since 2020).

About Dr. Rukmalee Erandika Vithana NPPES

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

DR. RUKMALEE ERANDIKA VITHANA (NPI 1689932188) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D85290) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2012).

NPPES Registry Identity

NPI1689932188
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. RUKMALEE ERANDIKA VITHANA
Location Address1800 ORLEANS ST RM M2303Baltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 933-1390
Fax(410) 955-8718
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1689932188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D85290
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1800 ORLEANS ST RM M2303, Baltimore, MD 21287

Secondary Practice Locations 3

Location 14175 N Hanson Ct Ste 201Bowie, MD 20716-3181 · Phone (410) 224-4442 · Fax (410) 244-4442
Location 228438 Marlboro AveEaston, MD 21601-2732 · Phone (410) 223-4442 · Fax (410) 224-4442
Location 3185 Harry S Truman Pkwy Ste 120Annapolis, MD 21401-7580 · Phone (410) 224-4442 · Fax (410) 224-8898

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

Dr. Rukmalee Erandika Vithana 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 ID547675357
PECOS Enrollment IDI20210208002748
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rukmalee Vithana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
600 N WOLFE ST
Baltimore, MD 21205
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Family Medicine
8109 RITCHIE HWY, SUITE 100
Pasadena, MD 21122
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1528899366 (District of Columbia)
  • 794 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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 Rukmalee Vithana's NPI number?

The NPI number for Rukmalee Vithana is 1689932188. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Rukmalee Vithana located?

Rukmalee Vithana practices at 1800 Orleans St Rm M2303, Baltimore, MD 21287. The listed phone number is (410) 955-5987.

What is Rukmalee Vithana's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rukmalee Vithana enrolled in Medicare?

Yes. Rukmalee Vithana 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 Rukmalee Vithana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rukmalee Vithana reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Luminis Health Medical Group, LLC (Pasadena, MD). 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 Rukmalee Vithana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rukmalee Vithana was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.