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

Prabath Madusanka Herath Mudiyanselage, DO

Individual provider Hospitalist Physician · NPI 1619463130

Prabath Madusanka Herath Mudiyanselage, DO is an Internal Medicine in Columbus, Ohio. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2018, 8 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
8
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
AZ, OH
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone: (614) 255-6900
Fax: (614) 255-6901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34.018702 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence 009089 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 58.030211 (OH)

Record details

NPI number1619463130
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2018 (8 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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