Prabath Herath Mudiyanselage, DO
NPI 1619463130 · Hospitalist Physician · Sun City, AZ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabath Herath Mudiyanselage, DO is a Hospitalist Physician provider in Sun City, AZ (NPI 1619463130).
Provider details
- NPI number
- 1619463130
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 58.030211 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
527 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 50 Minutes99233 | 276 | $114 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 80 | $167 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 77 | $76 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 74 | $110 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 20 | $78 |
Typical Medicare-allowed amounts for these services range $76–$167 (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 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 25 | 24 |
| Oxycodone Hcl | 22 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | 14 |
| Carvedilol | 11 | — |
| Pantoprazole Sodium | 11 | 11 |
| Levofloxacin | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 5555 W Thunderbird RdGlendale, AZ 85306-4622Phone: (602) 865-2631
- 3000 Arlington AveToledo, OH 43614-2598Phone: (419) 383-6821Fax: (419) 383-6180
Registry dates
- Enumerated
- 2018-07-09
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Prabath Herath Mudiyanselage's NPI number?
- Prabath Herath Mudiyanselage's National Provider Identifier (NPI) is 1619463130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabath Herath Mudiyanselage's specialty?
- Prabath Herath Mudiyanselage is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prabath Herath Mudiyanselage located?
- Prabath Herath Mudiyanselage's practice location on file with NPPES is 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004.
- What is Prabath Herath Mudiyanselage's phone number?
- The practice phone number listed in the NPPES registry for Prabath Herath Mudiyanselage is (623) 832-4728.
- Does Prabath Herath Mudiyanselage accept Medicare?
- Prabath Herath Mudiyanselage is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabath Herath Mudiyanselage's NPI active?
- Yes — Prabath Herath Mudiyanselage's NPI (1619463130) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.