LAKMALI KODITUWAKKU-COORAY (PA-C) – Physician Assistant, NPI 1194029629
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAKMALI KODITUWAKKU-COORAY (PA-C)
6609 VAN NUYS BLVD STE 201-A
VAN NUYS, CA 914054618
Phone: (818) 812-5410
Type: Mailing
455 W WILLOW ST
LONG BEACH, CA 908062843
Phone: (562) 427-1700
Type: Location
15717 PARAMOUNT BLVD
PARAMOUNT, CA 907234377
Phone: (562) 531-2231
Fax: (562) 531-8845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($36).
Total Amount
$159
General + Research + Ownership
Payments
8
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $36 |
| ABBVIE INC. | $23 |
| Exeltis, USA Inc. | $22 |
| PFIZER INC. | $21 |
| SANOFI PASTEUR INC. | $21 |
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: 2012-03-29
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 |
|---|---|---|---|---|
| I20120329000710 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 22 | $0 |
Insurance plans in this area (ZIP 91405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Obstetrics/Gynecology, General Surgery | CA | |
| Pediatric Medicine, Family Practice | CA | |
| Family Practice, Osteopathic Manipulative Medicine | CA | |
| Physician Assistant | CA | |
| - | CA |
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