Usha Panneerselvam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10133 Issued in RI

Practice address

351 Budlong Rd
Cranston, RI 02920-6001

Phone

(401) 943-1860

Fax

(401) 943-8952

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prospect Chartercare Physicians, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114944006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SAGAMORE RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204600",
            "telephone_number": "401-946-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206001",
            "telephone_number": "401-943-1860",
            "fax_number": "401-943-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNEERSELVAM",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020788",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Denise Paliotta, LICSW
• Julie Nicole Pallante
• Palma Home Care
• Toni M Panciera, ANP
• Somasundaram Panneerselvam, M.D.
• Robert Paul Papa, MA, LCMHC
• Maureen Ann Papagolos, MSW, LCSW
• Pappas Physical Therapy LLC
• Jennifer M Paquette, PHARM.D
• Anthony Parente, LMHC

• Internal Medicine Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.