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DR. KRISHANTHI DILRUKSHI SENEVIRATNE MD
NPI 1972814267
Family Medicine in Crystal Lake, IL

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
415 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014(815) 356-7494(815) 356-7541 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Krishanthi Dilrukshi Seneviratne Md NPPES

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

DR. KRISHANTHI DILRUKSHI SENEVIRATNE MD (NPI 1972814267) is an individual family medicine provider in Crystal Lake, Illinois, licensed in Illinois (036124671) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1972814267
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISHANTHI DILRUKSHI SENEVIRATNECredential: MD
Location Address415 E CONGRESS PKWY STE ACrystal Lake, IL 60014-6248
Mailing Address415 E Congress Pkwy Ste ACrystal Lake, IL 60014-6248 · (815) 356-7494 · Fax (815) 356-7541
Phone(815) 356-7494
Fax(815) 356-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 1, 2010
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1972814267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036124671
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.
415 E CONGRESS PKWY STE A, Crystal Lake, IL 60014
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Other Names 1

Former Name (1)Krishanthi Dilrukshi Guruge Md

Other Identifiers 3

OtherSENEVKRIWI · Mercycare Insurance
Medicaid0361246713IL
Other1972814267WI · Bcbswi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.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. Krishanthi Dilrukshi Seneviratne 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 ID7810176195
PECOS Enrollment IDI20110119001241
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.

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.
143 services92 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.
97 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers38 claims86 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims18 services$0.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MARKO F KRPAN DO
Orthopaedic Surgery (Hand Surgery)
415 E CONGRESS PKWY STE A
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-7494

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 Krishanthi Seneviratne's NPI number?

The NPI number for Krishanthi Seneviratne is 1972814267. It was assigned to this individual provider in the NPPES registry on July 1, 2010. The provider is also known as Krishanthi Dilrukshi Guruge MD.

Where is Krishanthi Seneviratne located?

Krishanthi Seneviratne practices at 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014. The listed phone number is (815) 356-7494.

What is Krishanthi Seneviratne's specialty?

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

Is Krishanthi Seneviratne enrolled in Medicare?

Yes. Krishanthi Seneviratne 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 Krishanthi Seneviratne accept?

Health plans from MercyCare Health Plans list Krishanthi Seneviratne 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 Krishanthi Seneviratne affiliated with any hospitals?

According to CMS data, Krishanthi Seneviratne is affiliated with Northwestern Medicine Mchenry, Javon Bea Hospital, Advocate Good Shepherd Hospital, Mercyhealth Hospital & Physician Clinic-Crystal La and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Krishanthi Seneviratne was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.