HIMALI SHESHTRA WIJESOORIYA M.D.
NPI 1720219926
Family Medicine in West Branch, MI

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment
640 COURT STREET, WEST BRANCH, MI 48661(989) 345-8120(989) 345-8129 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Himali Sheshtra Wijesooriya M.d. NPPES

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

HIMALI SHESHTRA WIJESOORIYA M.D. (NPI 1720219926) is an individual family medicine provider in West Branch, Michigan, licensed in Michigan (4301102341) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Vineland, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1720219926
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHIMALI SHESHTRA WIJESOORIYACredential: M.D.
Location Address640 COURT STREETWest Branch, MI 48661-0001
Mailing Address640 Court StreetWest Branch, MI 48661-0001 · (989) 345-8120 · Fax (989) 345-8129
Fax(989) 345-8129
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 5, 2009
Last NPPES UpdateDecember 5, 2018
✔ NPI 1720219926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 4301102341✔ Licensed in NJ · 25MA10206300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
640 COURT STREET, West Branch, MI 48661

Secondary Practice Locations 7

Location 1158 Route 73 Ste BVoorhees, NJ 08043-9539 · Phone (856) 247-7230 · Fax (856) 247-7231
Location 2239 Hurffville Crosskeys Rd Ste 160Sewell, NJ 08080-4005 · Phone (856) 341-8200 · Fax (856) 341-8215
Location 3602 W Cuthbert Blvd Unit 26Haddon Township, NJ 08108-3642 · Phone (856) 946-5180 · Fax (856) 946-5181
Location 4315 Route 70 ECherry Hill, NJ 08034-2408 · Phone (856) 375-6240 · Fax (856) 375-6241
Location 5401 Young Ave Ste 180Moorestown, NJ 08057-3139 · Phone (856) 291-8600 · Fax (856) 291-8610
Location 61001 Route 73 NMarlton, NJ 08053-4524 · Phone (856) 355-7120 · Fax (856) 355-7121
Location 7128 Route 70 Ste 1Medford, NJ 08055-2371 · Phone (609) 367-0900 · Fax (609) 267-0901

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

Himali Sheshtra Wijesooriya 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 ID9335375625
PECOS Enrollment IDI20180104001421
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 Himali Wijesooriya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48661 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Rural Health)
640 COURT STREET
WEST BRANCH, MI 48661
Physician Assistant
640 COURT STREET
WEST BRANCH, MI 48661

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 Himali Wijesooriya's NPI number?

The NPI number for Himali Wijesooriya is 1720219926. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Himali Wijesooriya located?

Himali Wijesooriya practices at 640 Court Street, West Branch, MI 48661. The listed phone number is (989) 345-8120.

What is Himali Wijesooriya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Himali Wijesooriya enrolled in Medicare?

Yes. Himali Wijesooriya 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 Himali Wijesooriya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Himali Wijesooriya reassigns Medicare benefits to 2 organizations: Virtua Medical Group, PA (Haddon Township, NJ) and Community Health Care, Inc. (Bridgeton, NJ). 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 Himali Wijesooriya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Himali Wijesooriya affiliated with any hospitals?

According to CMS data, Himali Wijesooriya is affiliated with Inspira Medical Center Vineland.

When was this NPI record last updated?

The NPPES record for Himali Wijesooriya was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.