Suresh Jayantha Desilva, MD - Medicare Emergency Medicine in Cornelius, NC

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Suresh Jayantha Desilva, MD is a medicare enrolled "Emergency Medicine" physician in Cornelius, North Carolina. His current practice location is 21332 Nautique Blvd, Apt # 204, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 650-3789.

Suresh Jayantha Desilva is licensed to practice in Nevada (license number 13961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356304869.

Contact Information

Suresh Jayantha Desilva, MD
21332 Nautique Blvd, Apt # 204,
Cornelius, NC 28031-6410
(704) 650-3789
Not Available

Map and Direction




Physician's Profile

Full NameSuresh Jayantha Desilva
GenderMale
SpecialityEmergency Medicine
Location21332 Nautique Blvd, Cornelius, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356304869
  • Provider Enumeration Date: 04/07/2006
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385619972
  • Enrollment ID: I20040827000470

Medical Identifiers

Medical identifiers for Suresh Jayantha Desilva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356304869NPI-NPPES
89107OLMedicaidNC
2246349FOtherNCMEDICARE PART B PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 00971315 (North Carolina)Secondary
207P00000XEmergency Medicine 13961 (Nevada)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suresh Jayantha Desilva allows following entities to bill medicare on his behalf.
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameSampson Regional Emergency Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952819575
PECOS PAC ID: 6406119239
Enrollment ID: O20180409002720

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suresh Jayantha Desilva is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suresh Jayantha Desilva, MD
21332 Nautique Blvd, Apt # 204,
Cornelius, NC 28031-6410

Ph: (704) 650-3789		Suresh Jayantha Desilva, MD
21332 Nautique Blvd, Apt # 204,
Cornelius, NC 28031-6410

Ph: (704) 650-3789

Reviews and Comments


Emergency Medicine Doctors in Cornelius, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.