Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dilantha B. Ellegala, MD

Individual provider Neurological Surgery Physician · NPI 1710056080

Dilantha B. Ellegala, MD is a Neurosurgery in Phoenix, Arizona. Graduated from University of Washington School of Medicine in 1996, 30 years ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Oregon and Virginia.

Years since qualifying
30
Trained at
University of Washington School of Medicine
Licensed in
AZ, OR, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4200 E Camelback Rd Ste 202
Phoenix, AZ 85018-2718
Phone: (602) 462-0469
Fax: (602) 635-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710 — (602) 462-0469

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 54678 (AZ)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 0101250836 (VA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence MD26843 (OR)
Neurological Surgery Physician Taxonomy 207T00000X · Licence LL15652 (OR)

Record details

NPI number1710056080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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