SELVIN JOSE PULICKATHOTTIYIL
NPI 1790376598
Physician Assistant in Houston, TX

Active since February 03, 2021PECOS EnrolledAccepts Medicare Assignment
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, May 5, 2021, Feb 3, 2021 (3 updates tracked since 2021).

About Selvin Jose Pulickathottiyil NPPES

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

SELVIN JOSE PULICKATHOTTIYIL (NPI 1790376598) is an individual physician assistant in Houston, Texas, licensed in Texas (PA14212) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790376598
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSELVIN JOSE PULICKATHOTTIYIL
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2021
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1790376598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA14212
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 HOLCOMBE BLVD, Houston, TX 77030

Accepted Insurance

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

Selvin Jose Pulickathottiyil 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 ID4981003407
PECOS Enrollment IDI20210602002785
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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Selvin Pulickathottiyil's NPI number?

The NPI number for Selvin Pulickathottiyil is 1790376598. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Selvin Pulickathottiyil located?

Selvin Pulickathottiyil practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Selvin Pulickathottiyil's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Selvin Pulickathottiyil enrolled in Medicare?

Yes. Selvin Pulickathottiyil 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.

What insurance does Selvin Pulickathottiyil accept?

Health plans from Moda Health Plan, Inc. list Selvin Pulickathottiyil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selvin Pulickathottiyil was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.