NPIMap

Individual provider Active NPI

Thiviyanath Sellathurai, M.D.

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1285084012
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61181719 Issued in WA
Practice address
15214 Canyon Rd E Ste 100
Puyallup, WA 98375-7457
Phone
(253) 539-4200
Fax
(253) 539-6005
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD468811 PA
Family Medicine Physician 207Q00000X MD61181719 WA Primary

Addresses

Primary practice location

15214 Canyon Rd E Ste 100
Puyallup, WA 98375-7457

Mailing address

15214 Canyon Rd E Ste 100
Puyallup, WA 98375-7457
Phone (253) 539-4200

Other identifiers 1

IdentifierTypeStateIssuer
2345216MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsellathurai233344@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191122001974 PA Practitioner - Family Practice 3577995919 Reassigns benefits to 1 organization
I20251022003518 WA Practitioner - Family Practice 3577995919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

15214 Canyon Rd E
Suite 100
Puyallup, WA 98375-7472
Phone (253) 539-4200

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61181719WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Dec 1, 2019 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2019 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

210 Medical Center Dr
Philipsburg, PA 16866
Phone (814) 342-8001

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

611 University Dr
State College, PA 16801
Phone (814) 234-2600

15214 Canyon Rd E
Ste 100
Puyallup, WA 98375
Phone (253) 539-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: tsellathurai916844@fhsce.catholichealth.net

Organizations & group practices 8

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.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1285084012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757457",
            "telephone_number": "253-539-4200",
            "fax_number": "253-539-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757457",
            "telephone_number": "253-539-4200",
            "fax_number": "253-539-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLATHURAI",
        "first_name": "THIVIYANATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468811",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61181719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345216",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsellathurai233344@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Medical Center Dr",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168661948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.