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VASANTH KUMAR SELVAM DO
NPI 1053007047
Student in an Organized Health Care Education/Training Program in West Islip, NY

Active since April 13, 2023PECOS Enrolled
1000 MONTAUK HWY # 11795, WEST ISLIP, NY 11795(631) 376-3000(631) 376-3420 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Apr 13, 2023 (2 updates tracked since 2023).

About Vasanth Kumar Selvam Do NPPES

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

VASANTH KUMAR SELVAM DO (NPI 1053007047) is an individual student in an organized health care education/training program in West Islip, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053007047
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVASANTH KUMAR SELVAMCredential: DO
Location Address1000 MONTAUK HWY # 11795West Islip, NY 11795-4927
Mailing Address8139 267th StFloral Park, NY 11004-1531 · (718) 219-4096
Phone(631) 376-3000
Fax(631) 376-3420
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1053007047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 331951 (NY)
1000 MONTAUK HWY # 11795, West Islip, NY 11795
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vasanth Kumar Selvam Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA P KESSEL MD
Surgery
1000 MONTAUK HWY # 11795
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
TOBIN PHILIP JOSEPH
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY # 11795
WEST ISLIP, NY 11795
Suffolk County (631) 862-3748

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 Vasanth Selvam's NPI number?

The NPI number for Vasanth Selvam is 1053007047. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Vasanth Selvam located?

Vasanth Selvam practices at 1000 Montauk Hwy # 11795, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Vasanth Selvam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vasanth Selvam enrolled in Medicare?

Yes. Vasanth Selvam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vasanth Selvam was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.