WANNAKUWATTE W. FERNANDO (M.D.) – Anesthesiology Physician, NPI 1205819281
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,327 ANESTHESIOLOGY in MA
Provider Addresses for WANNAKUWATTE W. FERNANDO (M.D.)
1 Boston Medical Ctr Pl
Boston, MA 021182908
Phone: (617) 638-6950
Type: Location
759 Chestnut Street
Springfield, MA 01107
Phone: (413) 795-0754
Type: Location
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022415348
Phone:
Type: Mailing
280 CHESTNUT ST
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 016550002
Phone: (508) 334-3271
Fax: (508) 856-5911
Type: Location
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: 2004-10-12
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20041012000100 | I | Anesthesiology | MA | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 12 | 12 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| - | MA |
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