INDURUWA NELANI PATHIRANA (M.D.) – Internal Medicine Physician, NPI 1063796779

INDURUWA NELANI PATHIRANA (M.D.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 74033 (MN). The NPI Number for INDURUWA NELANI PATHIRANA (M.D.) is 1063796779

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
INDURUWA NELANI PATHIRANA (M.D.)
NPI
1063796779
Phone
(210) 916-6027
Address
3551 ROGER BROOKE DR
Enumeration Date
30 September 2011
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128711145
Graduation Year
2011 (15 years ago)
PAC ID
8426335209
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20230516003671
Address ID
MN554335886CO9145XNWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,500 GASTROENTEROLOGY in TX

Provider Addresses for INDURUWA NELANI PATHIRANA (M.D.)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-6027

    Type: Mailing

  • PO BOX 14909

    MINNEAPOLIS, MN 554140909

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Mailing

  • 9145 SPRINGBROOK DR NW STE 200

    COON RAPIDS, MN 554335886

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $77,091.

Total Amount is formed as General ($77,091) + Research ($0) + Ownership ($0) = $77,091.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Cook Incorporated ($50,000).

Total Amount

$77,091

General + Research + Ownership

Payments

20

Total payment records

General Amount

$77,091

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-05-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230516003671IGastroenterologyMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6230$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2525$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YMN
Pediatric Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

What NPI should I save for INDURUWA NELANI PATHIRANA (M.D.)?
Save NPI 1063796779 if you need a stable reference for INDURUWA NELANI PATHIRANA (M.D.).
Is INDURUWA NELANI PATHIRANA (M.D.) active in the national directory?
INDURUWA NELANI PATHIRANA (M.D.)'s public NPI profile is in an active state.
What does INDURUWA NELANI PATHIRANA (M.D.) treat or focus on?
Patients typically see INDURUWA NELANI PATHIRANA (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does INDURUWA NELANI PATHIRANA (M.D.) practice in Texas?
You will see Jbsa Ft Sam Houston, Texas on file for INDURUWA NELANI PATHIRANA (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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