AMUDHA PANNEERSELVAM M.D.
NPI 1235556259
Family Medicine in San Diego, CA

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
7060 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111(619) 528-5000 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Nov 29, 2021 (2 updates tracked since 2021).

About Amudha Panneerselvam M.d. NPPES

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

AMUDHA PANNEERSELVAM M.D. (NPI 1235556259) is an individual family medicine provider in San Diego, California, licensed in California (A138417) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2014).

NPPES Registry Identity

NPI1235556259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMUDHA PANNEERSELVAMCredential: M.D.
Location Address7060 CLAIREMONT MESA BLVDSan Diego, CA 92111-1003
Mailing Address7060 Clairemont Mesa BlvdSan Diego, CA 92111-1003
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1235556259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A138417
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7060 CLAIREMONT MESA BLVD, San Diego, CA 92111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amudha Panneerselvam M.d. 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 ID840588091
PECOS Enrollment IDI20170106001078
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 92111 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Student in an Organized Health Care Education/Training Program
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Pharmacist
7060 CLAIREMONT MESA BLVD, FIRST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD, 6TH FLOOR
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Pharmacist
7060 CLAIREMONT MESA BLVD, 1ST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111

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 Amudha Panneerselvam's NPI number?

The NPI number for Amudha Panneerselvam is 1235556259. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Amudha Panneerselvam located?

Amudha Panneerselvam practices at 7060 Clairemont Mesa Blvd, San Diego, CA 92111. The listed phone number is (619) 528-5000.

What is Amudha Panneerselvam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amudha Panneerselvam enrolled in Medicare?

Yes. Amudha 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.

When was this NPI record last updated?

The NPPES record for Amudha Panneerselvam was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.