DR. IMARA R DISSANAYAKE (MD) – Nephrology Physician, NPI 1295796969
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
738 NEPHROLOGY in PA
Provider Addresses for DR. IMARA R DISSANAYAKE (MD)
Burger King, 101, East Olney Avenue, Olney, Philadelphia, Philadelphia County, Pennsylvania, 19120, United States
STE 400
PHILADELPHIA, PA 19120
Phone: (215) 456-7000
Fax: (215) 254-2599
Type: Mailing
5501 OLD YORK RD
PHILA, PA 19144
Phone: (215) 456-6970
Fax: (215) 456-7154
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,551.
Total Amount is formed as General ($1,551) + Research ($0) + Ownership ($0) = $1,551.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Vifor Pharma, Inc. ($373).
Total Amount
$1,551
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-12-30
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 |
|---|---|---|---|---|
| I20111230000118 | I | Nephrology | PA | 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 |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 242 | 57 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 129 | 62 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 70 | 36 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | 15 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 19120)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | PA | 90966 | Home dialysis services per month, patient 20 years of age or older | 36 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA |
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