DR. GOWRI KULARATNA M.D.
NPI 1861682957
Internal Medicine in Waldorf, MD

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
76.43/100
CMS Quality Rating
12070 OLD LINE CTR, SUITE 200, WALDORF, MD 20602(301) 645-8035 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gowri Kularatna M.d. NPPES

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

DR. GOWRI KULARATNA M.D. (NPI 1861682957) is an individual internal medicine provider in Waldorf, Maryland, licensed in Massachusetts (233288) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and is a graduate of University Of Maryland School Of Medicine (2004).

NPPES Registry Identity

NPI1861682957
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GOWRI KULARATNACredential: M.D.
Location Address12070 OLD LINE CTR, SUITE 200Waldorf, MD 20602-2513
Mailing Address12070 Old Line Ctr, Suite 200Waldorf, MD 20602-2513
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2004
Enumeration DateJuly 26, 2007
Last NPPES UpdateMarch 6, 2012
NPI 1861682957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 233288
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.
12070 OLD LINE CTR, Waldorf, MD 20602

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. Gowri Kularatna 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 ID4587751250
PECOS Enrollment IDI20120309000549
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 12

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
169 services169 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.
153 services140 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.
102 services96 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
86 services86 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.
66 services66 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Adventist Healthcare Fort Washington Medical Ctr

Acute Care Hospitals · Fort Washington, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210060
Location11711 Livingston RoadFort Washington, MD 20744 · Prince Georges County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

76.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.6
Improvement Activities40
Cost67.29

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.

Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602

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 Gowri Kularatna's NPI number?

The NPI number for Gowri Kularatna is 1861682957. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Gowri Kularatna located?

Gowri Kularatna practices at 12070 Old Line Ctr Suite 200, Waldorf, MD 20602. The listed phone number is (301) 645-8035.

What is Gowri Kularatna's specialty?

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

Is Gowri Kularatna enrolled in Medicare?

Yes. Gowri Kularatna 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.

Is Gowri Kularatna affiliated with any hospitals?

According to CMS data, Gowri Kularatna is affiliated with University Of MD Charles Regional Medical Center and Adventist Healthcare Fort Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Gowri Kularatna was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.