AMUDHA PANNEERSELVAM M.D.
NPI 1235556259
Family Medicine in San Diego, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Amudha Panneerselvam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 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.
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.
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
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.
Which organization bills Medicare for Amudha Panneerselvam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amudha Panneerselvam reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Amudha 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 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.
# Amudha Panneerselvam, M.D. · NPI 1235556259
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1235556259 (Entity type: Individual)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A138417 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7060 CLAIREMONT MESA BLVD, San Diego, CA 92111-1003
- **Phone:** (619) 528-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** May 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235556259) · Data from the CMS NPPES public registry.