Priyangika Pathirana, MD
NPI 1376627208 · Internal Medicine Physician · Albany, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyangika Pathirana, MD is a Internal Medicine Physician provider in Albany, NY (NPI 1376627208).
Provider details
- NPI number
- 1376627208
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 237656 (NY)
Specialties & taxonomies
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
92 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $171 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 15 | $209 |
Typical Medicare-allowed amounts for these services range $120–$209 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 67 | — |
| Semaglutidebrand: Ozempic | 67 | 12 |
| Semaglutidebrand: Wegovy | 57 | 15 |
| Naltrexone Hcl | 46 | 11 |
| Levothyroxine Sodium | 30 | 25 |
| Bupropion Hclbrand: Bupropion Hcl Sr | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$454 across 7 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 (2)
- 63 Shaker Rd Ste G02Albany, NY 12204-1030Phone: (518) 449-5352
- 319 S Manning Blvd Ste 307Albany, NY 12208-1743Phone: (518) 687-9779
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Frequently asked questions
- What is Priyangika Pathirana's NPI number?
- Priyangika Pathirana's National Provider Identifier (NPI) is 1376627208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyangika Pathirana's specialty?
- Priyangika Pathirana is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priyangika Pathirana located?
- Priyangika Pathirana's practice location on file with NPPES is 1440 Western Ave, Albany, NY 12203-3421.
- What is Priyangika Pathirana's phone number?
- The practice phone number listed in the NPPES registry for Priyangika Pathirana is (518) 482-0214.
- Does Priyangika Pathirana accept Medicare?
- Priyangika Pathirana is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyangika Pathirana's NPI active?
- Yes — Priyangika Pathirana's NPI (1376627208) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.