Kanchana Nilupul Herath, MD
Rheumatology Physician · Philadelphia, PA
Kanchana Nilupul Herath, MD is a rheumatology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1093058877, issued on Mar 31, 2013. Check the license (Pennsylvania MD465251, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Kanchana Nilupul Herath
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- MD465251 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1261 Division Highway, Philadelphia, PA 17522
- Phone
- (717) 299-1301
- Enumerated
- Mar 31, 2013
- Record last updated
- Sep 24, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (717) 299-2214
- Medicare enrollment
- Enrolled (PECOS I20181015002521); accepts Medicare assignment
- Medical or professional school
- Pennsylvania State University College Of Medicine, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 413 in Pennsylvania → Look up another NPI →
Verify Kanchana Nilupul Herath in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD465251Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
14% fewer Medicare Part D claims than the average rheumatology physician in 2024
1,702 Medicare Part D claims for 386 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims. 15 claims were for opioids.
Most prescribed
- Prednisone277 claims
- Hydroxychloroquine Sulfate274 claims
- Alendronate Sodium203 claims
- Methotrexate135 claims
- Allopurinol96 claims
- Sulfasalazine65 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Lancaster General Medical GroupLancaster, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kanchana Nilupul Herath among 413 rheumatology physician records in Pennsylvania
Kanchana Nilupul Herath, MD is one of 413 rheumatology physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 77% of them.
- NPI issued2013 · 77% of these records are older, 19% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2013 · median 2004 among the 275 with a school on file
- Record last updated2018 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Pennsylvania
There are 413 rheumatology physician records in Pennsylvania.
All 413 in Pennsylvania → Every provider in Philadelphia → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Peter Utsinger, MDLititz, PA 175431528000601
- Sandhya Adusumilli, M.D.Lancaster, PA 176011194706143
- Lisa Allen, M.D.Lancaster, PA 176011710961230
- Charles Henderson, MDLancaster, PA 176011841388329
- Hareth Madhoun, DOLancaster, PA 176011578790077
- Colleen Matejicka, D.O.Lancaster, PA 176011790768828
- Ami Milton, MDLancaster, PA 176011508861956
- Andrew Price, DOLancaster, PA 176011427579630
Common questions
What is Kanchana Nilupul Herath, MD's NPI number?
Kanchana Nilupul Herath, MD's National Provider Identifier (NPI) is 1093058877, issued on Mar 31, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kanchana Nilupul Herath, MD located?
The NPPES record lists a practice address at 1261 Division Highway, Philadelphia, PA, 17522. Phone: (717) 299-1301. Providers update this record themselves, so call before visiting.
How can I verify Kanchana Nilupul Herath, MD's license?
NPPES lists Pennsylvania license number MD465251, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kanchana Nilupul Herath, MD prescribe under Medicare Part D?
In 2024, Kanchana Nilupul Herath, MD had 1,702 Medicare Part D claims for 386 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.