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SHALIKA BASNAYAKE KATUGAHA MD
NPI 1780824367
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since February 23, 2009PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
820 PRUDENTIAL DR STE 515, JACKSONVILLE, FL 32207(904) 396-4886(904) 398-0496 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shalika Basnayake Katugaha Md NPPES

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

SHALIKA BASNAYAKE KATUGAHA MD (NPI 1780824367) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME147258) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Georgetown University School Of Medicine (2004).

NPPES Registry Identity

NPI1780824367
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSHALIKA BASNAYAKE KATUGAHACredential: MD
Location Address820 PRUDENTIAL DR STE 515Jacksonville, FL 32207-8207
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 396-4886
Fax(904) 398-0496
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2004
Enumeration DateFebruary 23, 2009
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1780824367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in FL · ME147258✔ Licensed in VA · 0101241286
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
820 PRUDENTIAL DR STE 515, Jacksonville, FL 32207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalika Basnayake Katugaha Md 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 ID8123173770
PECOS Enrollment IDI20210415000618
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
847 services155 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services21 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services15 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

DENIS DOUGLAS ASIIMWE M.D
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
DIANA INIGUEZ MERCADO M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
BRANDI E WIGGINS APRN, FNP-C
Nurse Practitioner (Family)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
JOHN KYAW HAN M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
CATHERINE L. SMITH MD
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
ROBERT J CATALLA MD
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
DR. MAN-KUANG CHANG M.D
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
SRIVANI SANIKOMMU M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886

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 Shalika Katugaha's NPI number?

The NPI number for Shalika Katugaha is 1780824367. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Shalika Katugaha located?

Shalika Katugaha practices at 820 Prudential Dr Ste 515, Jacksonville, FL 32207. The listed phone number is (904) 396-4886.

What is Shalika Katugaha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Shalika Katugaha enrolled in Medicare?

Yes. Shalika Katugaha 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.

What insurance does Shalika Katugaha accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shalika Katugaha 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.

Is Shalika Katugaha affiliated with any hospitals?

According to CMS data, Shalika Katugaha is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Shalika Katugaha was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.