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PRIYA PANNEERSELVAM D.O.
NPI 1164961439
Obstetrics & Gynecology in Fresno, CA

Active since February 19, 2017PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 499-6540(559) 499-6541 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2021, May 18, 2021, Feb 19, 2017 (3 updates tracked since 2017).

About Priya Panneerselvam D.o. NPPES

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

PRIYA PANNEERSELVAM D.O. (NPI 1164961439) is an individual obstetrics & gynecology provider in Fresno, California, licensed in California (20A18805) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1164961439
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePRIYA PANNEERSELVAMCredential: D.O.
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 499-6540
Fax(559) 499-6541
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2017
Enumeration DateFebruary 19, 2017
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1164961439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 20A18805
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 20A18805 (CA)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 20A18805 (CA)
2823 FRESNO ST, Fresno, CA 93721
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priya Panneerselvam D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537430996
PECOS Enrollment IDI20210701003534
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.

Medicare Billing Reassignment

Medicare enrollment records show Priya Panneerselvam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
100 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

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.

MICHELLE LEA STORKAN M.D.
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
WHITNEY ANN JOHNSON PA-C
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
TAMARA CARPENTER FNP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
ERICSON MUTSUO HIROSE PA
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 443-2682
MARIA FLORDELIZ ARAMBULO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6484
JASON PAUL O'BRIEN NP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
REEM ABOUSHAAR MD
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 443-2682
TUSWANA MAKINI ELLSBERRY FNP
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 459-6000

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 Priya Panneerselvam's NPI number?

The NPI number for Priya Panneerselvam is 1164961439. It was assigned to this individual provider in the NPPES registry on February 19, 2017.

Where is Priya Panneerselvam located?

Priya Panneerselvam practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 499-6540.

What is Priya Panneerselvam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Priya Panneerselvam enrolled in Medicare?

Yes. Priya Panneerselvam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Priya Panneerselvam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Panneerselvam reassigns Medicare benefits to County Of Santa Clara (Gilroy, CA). The 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 Priya Panneerselvam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Panneerselvam was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.