DR. THILINA PRANEETHBOGATEGEDARA MARASINGHE MD
NPI 1821160938
Internal Medicine in San Antonio, TX

Q: What is Thilina Marasinghe's NPI number?

The NPI number for Thilina Marasinghe is 1821160938. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Thilina Marasinghe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

2455 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 78217(210) 599-6000(210) 657-5586 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thilina Praneethbogategedara Marasinghe Md NPPES

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

DR. THILINA PRANEETHBOGATEGEDARA MARASINGHE MD (NPI 1821160938) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (M4871) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1821160938

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THILINA PRANEETHBOGATEGEDARA MARASINGHECredential: MD

Location Address2455 NE LOOP 410, SUITE 100San Antonio, TX 78217-5649

Mailing Address2455 Ne Loop 410, Suite 100San Antonio, TX 78217-5649 · (210) 599-6000 · Fax (210) 657-5586

Phone(210) 599-6000

Fax(210) 657-5586

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 14, 2006

Last NPPES UpdateOctober 17, 2016

✔ NPI 1821160938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · M4871

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2455 NE LOOP 410, San Antonio, TX 78217

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Other Identifiers 7

Other199419603TX · Wellmed Medicaid

OtherP00379667TX · Rr Medicare

Medicare PIN8F4472TX

Medicare UPIN169664TX

OtherTXB158721TX · Wellmed Medicare

Other8W9000TX · Bcbs

Medicaid199419602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance 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

Dr. Thilina Praneethbogategedara Marasinghe 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 ID4981708260

PECOS Enrollment IDI20070326000377

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 9

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

175 services91 patients

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.

140 services81 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

122 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services27 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

28 services28 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%79 patients4/55-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.

BRADY MITCHELL HARRISON PA

Physician Assistant (Medical)

2455 NE LOOP 410, SUITE 100
SAN ANTONIO, TX 78217

Bexar County (210) 599-6000

HUGH EXCELL LOTHERY PA

Physician Assistant (Medical)

2455 NE LOOP 410, SUITE 100
SAN ANTONIO, TX 78217

Bexar County (210) 599-6000

DENNIS EARL WILLIS MD

Family Medicine

2455 NE LOOP 410, STE 100
SAN ANTONIO, TX 78217

Bexar County (210) 599-6000

MS. NORMA M VALLES-LEBRON MD

Internal Medicine

2455 NE LOOP 410, STE 100
SAN ANTONIO, TX 78217

Bexar County (210) 599-6000

AVANINDRA JAIN, M.D.P.A.

Specialist

2455 NE LOOP 410, SUITE 235
SAN ANTONIO, TX 78217

Bexar County (210) 637-0091

RICHARD JOHN GONG MD

Surgery

2455 NE LOOP 410, STE 245
SAN ANTONIO, TX 78217

Bexar County (210) 654-0866

RICHARD J GONG, MD PA

Surgery

2455 NE LOOP 410, SUITE 245
SAN ANTONIO, TX 78217

Bexar County (210) 654-0866

SHYAM PURSWANI, M.D. P.A.

Pain Medicine (Interventional Pain Medicine)

2455 NE LOOP 410, SUITE 101
SAN ANTONIO, TX 78217

Bexar County (210) 590-9080

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 Thilina Marasinghe's NPI number?

The NPI number for Thilina Marasinghe is 1821160938. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Thilina Marasinghe located?

Thilina Marasinghe practices at 2455 NE Loop 410 Suite 100, San Antonio, TX 78217. The listed phone number is (210) 599-6000.

What is Thilina Marasinghe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thilina Marasinghe enrolled in Medicare?

Yes. Thilina Marasinghe 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 Thilina Marasinghe accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Thilina Marasinghe 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 Thilina Marasinghe affiliated with any hospitals?

According to CMS data, Thilina Marasinghe is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Thilina Marasinghe was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.