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PRADEEPA SELVAKUMAR MD INC, A CALIFORNIA PROFESSIONAL CORPORATION
NPI 1013472950
Internal Medicine in San Mateo, CA

Active since February 05, 2019CLIA 05D2262370 · Waiver
101 S SAN MATEO DR STE 102, SAN MATEO, CA 94401(650) 435-8211(844) 965-9436 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pradeepa Selvakumar Md Inc, A California Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRADEEPA SELVAKUMAR MD INC, A CALIFORNIA PROFESSIONAL CORPORATION (NPI 1013472950) is a healthcare organization registered as an internal medicine in San Mateo, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Pradeepa Selvakumar, Owner, as its authorized official.

NPPES Registry Identity

NPI1013472950
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRADEEPA SELVAKUMAR MD INC, A CALIFORNIA PROFESSIONAL CORPORATION
Location Address101 S SAN MATEO DR STE 102San Mateo, CA 94401-3840
Mailing Address2889 Baze RdSan Mateo, CA 94403-3436 · (415) 778-0813
Phone(650) 435-8211
Fax(844) 965-9436
Organization SubpartNo
Authorized OfficialPradeepa SelvakumarOwner · (650) 435-8211
Enumeration DateFebruary 5, 2019
✔ NPI 1013472950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 S SAN MATEO DR STE 102, San Mateo, CA 94401
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Other Names 1

Other NameSan Mateo Primary Care

Other Identifiers 1

Other1912090226CA · Other Insurances

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeepa Selvakumar Md Inc, A California Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pradeepa Selvakumar MD Inc, A California Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pradeepa Selvakumar, MD
Internal Medicine
NPI 1912090226
250 BON AIR RD
Greenbrae, CA 94904
(415) 925-7086
✔ PECOS✔ Accepts Medicare40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2262370

Pradeepa Selvakumar MD, Inc · San Mateo, CA
Active · expires Jun 12, 2028
CLIA Number05D2262370
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorPradeepa Selvakumar
Laboratory Phone(650) 435-8211
Laboratory LocationPradeepa Selvakumar MD, Inc101 S San Mateo Dr, #301, San Mateo, CA 94401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeepa Selvakumar MD Inc, A California Professional Corporation's NPI number?

The NPI number for Pradeepa Selvakumar MD Inc, A California Professional Corporation is 1013472950. It was assigned to this organization in the NPPES registry on February 5, 2019. The provider is also known as San Mateo Primary Care.

Where is Pradeepa Selvakumar MD Inc, A California Professional Corporation located?

Pradeepa Selvakumar MD Inc, A California Professional Corporation is located at 101 S San Mateo Dr Ste 102, San Mateo, CA 94401. The listed phone number is (650) 435-8211.

What is Pradeepa Selvakumar MD Inc, A California Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pradeepa Selvakumar MD Inc, A California Professional Corporation enrolled in Medicare?

Yes. Pradeepa Selvakumar MD Inc, A California Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pradeepa Selvakumar MD Inc, A California Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pradeepa Selvakumar MD Inc, A California Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pradeepa Selvakumar MD Inc, A California Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2262370) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pradeepa Selvakumar MD Inc, A California Professional Corporation was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.