KANISHKA THIRAN JAYASUNDERA – Retina Specialist (Ophthalmology) Physician, NPI 1992090625

KANISHKA THIRAN JAYASUNDERA is a healthcare provider. based in Ann arbor, Michigan. specializing in OPHTHALMOLOGY. They hold a License No. 4301093385 (MI). The NPI Number for KANISHKA THIRAN JAYASUNDERA is 1992090625

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KANISHKA THIRAN JAYASUNDERA
NPI
1992090625
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
10 June 2011
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8729250113
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20251014000028
Address ID
CA958172307SA4860XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Digital endpointsOther names

844 OPHTHALMOLOGY in MI

Provider Addresses for KANISHKA THIRAN JAYASUNDERA

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1000 WALL STREET

    ANN ARBOR, MI 481051912

    Phone: (734) 764-4190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $40,216.

Total Amount is formed as General ($40,216) + Research ($0) + Ownership ($0) = $40,216.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($40,216).

Total Amount

$40,216

General + Research + Ownership

Payments

40

Total payment records

General Amount

$40,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Pharmaceuticals, Inc$40,216
View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111006000579IOphthalmologyMITBD
I20251014000028IOphthalmologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina500213$0
99214Established patient office or other outpatient visit, 30-39 minutes331193$0
67028Injection of drug into eye23044$0
92083Exam of visual field with extended testing3634$0
92235Exam of retinal blood vessels using a special camera after injection of a dye3625$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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Provider's Procedures

KANISHKA THIRAN JAYASUNDERA performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMI92083Measurement of field of vision during daylight conditions6257

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: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

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Frequently asked questions

Is KANISHKA THIRAN JAYASUNDERA listed with a National Provider Identifier?
Yes — KANISHKA THIRAN JAYASUNDERA has NPI 1992090625 on file in the registry.
Would KANISHKA THIRAN JAYASUNDERA appear as active to a payer?
You can treat KANISHKA THIRAN JAYASUNDERA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KANISHKA THIRAN JAYASUNDERA?
KANISHKA THIRAN JAYASUNDERA is associated with Retina Specialist (Ophthalmology) Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KANISHKA THIRAN JAYASUNDERA?
Travel planning: use Ann Arbor, Michigan as the reference point for KANISHKA THIRAN JAYASUNDERA, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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