Melanie Wathugala, MD
NPI 1841855525 · Family Medicine Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Wathugala, MD is a Family Medicine Physician provider in Sacramento, CA (NPI 1841855525).
Provider details
- NPI number
- 1841855525
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 187166 (CA)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
261 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $86 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $66 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 50 | $17 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 17 | $66 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 15 | $111 |
Typical Medicare-allowed amounts for these services range $17–$111 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 54 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 136 | 54 |
| Amlodipine Besylate | 112 | 38 |
| Metformin Hcl | 90 | 25 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 89 | 32 |
| Losartan Potassium | 87 | 26 |
| Gabapentin | 80 | 31 |
Practice location
Mailing address
Additional practice locations (1)
- 1500 21st StSacramento, CA 95811-5216Phone: (916) 443-3299
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2023-08-17
- Certified
- 2023-07-14
Frequently asked questions
- What is Melanie Wathugala's NPI number?
- Melanie Wathugala's National Provider Identifier (NPI) is 1841855525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Wathugala's specialty?
- Melanie Wathugala is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Melanie Wathugala located?
- Melanie Wathugala's practice location on file with NPPES is 4860 Y Street Suite 1600, Sacramento, CA 95817.
- What is Melanie Wathugala's phone number?
- The practice phone number listed in the NPPES registry for Melanie Wathugala is (916) 734-3630.
- Does Melanie Wathugala accept Medicare?
- Melanie Wathugala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Wathugala's NPI active?
- Yes — Melanie Wathugala's NPI (1841855525) is active in the NPPES registry as of the last update on 2023-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.