Konsingedara Nawarathna, M.D.
NPI 1225157209 · Hospitalist Physician · Marietta, GA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Konsingedara Nawarathna, M.D. is a Hospitalist Physician provider in Marietta, GA (NPI 1225157209).
Provider details
- NPI number
- 1225157209
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 89454 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
601 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 382 | $79 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 99 | $115 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 87 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $88 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $175 |
Typical Medicare-allowed amounts for these services range $79–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$175 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 425 Home StGeorgetown, OH 45121-1407Phone: (937) 378-7500Fax: (937) 378-7698
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2019-02-20
Frequently asked questions
- What is Konsingedara Nawarathna's NPI number?
- Konsingedara Nawarathna's National Provider Identifier (NPI) is 1225157209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Konsingedara Nawarathna's specialty?
- Konsingedara Nawarathna is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Konsingedara Nawarathna located?
- Konsingedara Nawarathna's practice location on file with NPPES is 677 Church St Ne # 111, Marietta, GA 30060-1101.
- What is Konsingedara Nawarathna's phone number?
- The practice phone number listed in the NPPES registry for Konsingedara Nawarathna is (770) 793-7750.
- Does Konsingedara Nawarathna accept Medicare?
- Konsingedara Nawarathna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Konsingedara Nawarathna's NPI active?
- Yes — Konsingedara Nawarathna's NPI (1225157209) is active in the NPPES registry as of the last update on 2019-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.