1. Home
  2. Directory
  3. Pennsylvania
  4. Altoona
  5. Internal Medicine
  6. NPI Profile

DUMINDA S SIRIPALA M.D.
NPI 1932480571
Internal Medicine - Nephrology in Altoona, PA

Active since September 08, 2011PECOS EnrolledAccepts Medicare Assignment
84.97/100
CMS Quality Rating
312 CHESTNUT AVENUE, ALTOONA, PA 16601(814) 946-3500(814) 946-5067 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Duminda S Siripala M.d. NPPES

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

DUMINDA S SIRIPALA M.D. (NPI 1932480571) is an individual nephrology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD443916) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1932480571
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDUMINDA S SIRIPALACredential: M.D.
Location Address312 CHESTNUT AVENUEAltoona, PA 16601-4911
Mailing Address312 Chestnut AvenueAltoona, PA 16601-4911 · (814) 946-3500 · Fax (814) 946-5067
Phone(814) 946-3500
Fax(814) 946-5067
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 8, 2011
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1932480571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD443916
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
312 CHESTNUT AVENUE, Altoona, PA 16601
Open in Google Maps ↗

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

Duminda S Siripala 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 ID4284806415
PECOS Enrollment IDI20111013000062
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 Reassignment

Medicare enrollment records show Duminda Siripala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blair Nephrology Assoc Inc
Same address
Nephrology
312 CHESTNUT AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1831109289 (814) 946-3500

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
376 services82 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.
166 services113 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
162 services34 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
145 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
100 services79 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
62 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

84.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.12
Promoting Interoperability90
Improvement Activities40
Cost52.14

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 Duminda Siripala's NPI number?

The NPI number for Duminda Siripala is 1932480571. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Duminda Siripala located?

Duminda Siripala practices at 312 Chestnut Avenue, Altoona, PA 16601. The listed phone number is (814) 946-3500.

What is Duminda Siripala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Duminda Siripala enrolled in Medicare?

Yes. Duminda Siripala 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 organization bills Medicare for Duminda Siripala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duminda Siripala reassigns Medicare benefits to Blair Nephrology Assoc Inc (Altoona, PA). The 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 Duminda Siripala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Duminda Siripala affiliated with any hospitals?

According to CMS data, Duminda Siripala is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Duminda Siripala was last updated on March 30, 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.