RUKMIN R HETTIARACHCHY (MD) – Anesthesiology Physician, NPI 1023085842

RUKMIN R HETTIARACHCHY (MD) is a healthcare provider. based in Hot springs, Arkansas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 35938 (AZ). The NPI Number for RUKMIN R HETTIARACHCHY (MD) is 1023085842

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RUKMIN R HETTIARACHCHY (MD)
NPI
1023085842
Phone
(501) 664-4532
Address
300 WERNER ST
Enumeration Date
1 March 2006
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5016221930
Graduation Year
2003 (23 years ago)
PAC ID
7618939273
Group Practice PAC ID
2163524992
Professional Enrollment ID
I20190425001211
Address ID
AR719136406HO300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

393 ANESTHESIOLOGY in AR

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Provider Addresses for RUKMIN R HETTIARACHCHY (MD)

  • CHI St. Vincent Hot Springs, 300, Werner Street, Hot Springs, Garland County, Arkansas, 71913, United States of America

    HOT SPRINGS, AR 719136406

    Phone: (501) 664-4532

    Fax: (501) 663-4335

    Type: Location

  • 500 S UNIVERSITY AVE STE 500

    LITTLE ROCK, AR 722055307

    Phone: (501) 664-4532

    Fax: (501) 663-4335

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190425001211IAnesthesiologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163524992View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
-WA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
-TX
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

Can I use this page to confirm RUKMIN R HETTIARACHCHY (MD)'s NPI?
Yes. RUKMIN R HETTIARACHCHY (MD) is listed with NPI 1023085842 in the public NPI dataset.
Can I rely on RUKMIN R HETTIARACHCHY (MD) being an active provider?
As of the registry snapshot, RUKMIN R HETTIARACHCHY (MD) is marked active.
What is RUKMIN R HETTIARACHCHY (MD) best known for clinically?
Directory data describes RUKMIN R HETTIARACHCHY (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does RUKMIN R HETTIARACHCHY (MD) list a practice location?
Patients near Hot Springs, Arkansas may find RUKMIN R HETTIARACHCHY (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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