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DR. AYYASAMY P SELVAM MD
NPI 1104935832
Internal Medicine in Prescott, AZ

Active since August 29, 2006PECOS Enrolled
500 N US HIGHWAY 89, VA MEDICAL CENTER, PRESCOTT, AZ 86313(928) 776-6009(928) 776-6098 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ayyasamy P Selvam Md NPPES

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

DR. AYYASAMY P SELVAM MD (NPI 1104935832) is an individual internal medicine provider in Prescott, Arizona, licensed in Kansas (04-26825) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104935832
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AYYASAMY P SELVAMCredential: MD
Location Address500 N US HIGHWAY 89, VA MEDICAL CENTERPrescott, AZ 86313-5001
Mailing AddressPo Box 9080Prescott, AZ 86313-9080 · (928) 776-6009 · Fax (928) 776-6098
Phone(928) 776-6009
Fax(928) 776-6098
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104935832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KS · 04-26825✔ Licensed in MO · 108004
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.
500 N US HIGHWAY 89, Prescott, AZ 86313
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Other Names 1

Former Name (1)Dr. Ayyasamy Panneerselvam Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ayyasamy P Selvam Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MR. KENNETH GEORGE FOURNIER LICSW
Social Worker (Clinical)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
CAROLYNN NELL PRITCHARD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
HEIDI DELL LCSW
Social Worker (Clinical)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 925-6180
HALEY RUTH OTR/L
Occupational Therapist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (603) 731-4804
DR. WILLIAM R FLEMING M.D.
Emergency Medicine
500 N US HIGHWAY 89, NORTHERN ARIZONA VA HCS
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
ANGEL JOSE MENDEZ PHARMD
Pharmacist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
REBECCA HOWARD
Dental Hygienist
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (928) 443-5432
JOHN DESJARLAIS
Specialist/Technologist, Pathology (Medical Technologist)
500 N US HIGHWAY 89
PRESCOTT, AZ 86313
Yavapai County (925) 445-4860

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 Ayyasamy Selvam's NPI number?

The NPI number for Ayyasamy Selvam is 1104935832. It was assigned to this individual provider in the NPPES registry on August 29, 2006. The provider is also known as Dr. Ayyasamy Panneerselvam MD.

Where is Ayyasamy Selvam located?

Ayyasamy Selvam practices at 500 N Us Highway 89 VA Medical Center, Prescott, AZ 86313. The listed phone number is (928) 776-6009.

What is Ayyasamy Selvam's specialty?

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

Is Ayyasamy Selvam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ayyasamy Selvam was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.