DR. PAVALAN PANNEER SELVAM MBBS
NPI 1891445169
Medical Genetics - Clinical Genetics (M.D.) in Jacksonville, FL
About Dr. Pavalan Panneer Selvam Mbbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAVALAN PANNEER SELVAM MBBS (NPI 1891445169) is an individual clinical genetics (m.d.) provider in Jacksonville, Florida, licensed in Florida (ME179558) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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. Pavalan Panneer Selvam Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Pavalan Panneer Selvam's NPI number?
The NPI number for Pavalan Panneer Selvam is 1891445169. It was assigned to this individual provider in the NPPES registry on March 28, 2022. The provider is also known as Dr. Pavalan Panneer Selvam Mbbs.
Where is Pavalan Panneer Selvam located?
Pavalan Panneer Selvam practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Pavalan Panneer Selvam's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Pavalan Panneer Selvam enrolled in Medicare?
Yes. Pavalan Panneer Selvam is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Pavalan Panneer Selvam was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Dr. Pavalan Panneer Selvam, MBBS · NPI 1891445169
Clinical Genetics (M.D.) physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1891445169 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** ME179558 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891445169) · Data from the CMS NPPES public registry.