DR. SEEDUWA MUDIYANS OWADINI WATHSALA BANDARA (MD) – Family Medicine Physician, NPI 1114157518
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. SEEDUWA MUDIYANS OWADINI WATHSALA BANDARA (MD)
514 N PROSPECT AVE
REDONDO BEACH, CA 902773036
Phone: (310) 937-8555
Type: Location
121 Drew Ave SE
Madelia, MN 560621814
Phone: (507) 642-5200
Fax: (507) 642-5218
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone: (310) 301-8771
Type: Mailing
Madelia Community Hospital, 121, Drew Avenue Southeast, Madelia, Watonwan County, Minnesota, 56062, United States
MADELIA, MN 560621814
Phone: (507) 642-5200
Fax: (507) 642-5218
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: 2019-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190718002212 | I | Family Practice | CA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 256 | 230 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 137 | $0 |
| 81002 | Urinalysis, manual test | 39 | 37 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 32 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 26 | 26 | $0 |
Insurance plans in this area (ZIP 90277)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine, Family Practice | CA | |
| Medical Oncology, Hematology/Oncology | CA | |
| Hospitalist, Internal Medicine | MA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| Hospitalist, Internal Medicine | CA |
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