Individual provider Active NPI

Tamilselvi Periasamy, MD

  • Internal Medicine Physician
  • Taylor, TX
National Provider Identifier
1659913440
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1208 Issued in TX
Practice address
1301 W 4TH St
Taylor, TX 76574-2447
Phone
(877) 800-5722
NPI assigned
Oct 13, 2019
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-46521 IA
Internal Medicine Physician 207R00000X 65853 AZ
Internal Medicine Physician 207R00000X U1208 TX Primary

Addresses

Primary practice location

1301 W 4TH St
Taylor, TX 76574-2447

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

5650 S 35th Ave
Phoenix, AZ 85041-3531
Phone (602) 655-6400

Other practice location 2

1410 N 4th St
Clinton, IA 52732-2940
Phone (563) 244-5900

Other practice location 3

Kovai Medical Center and Hospital
99, Avanashi Road
Coimbatore, Tamilnadu 641014
IN
Phone (984) 307-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230419000300 TX Practitioner - Internal Medicine 4789011479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Circle of CareGroup PAC ID 5193709392, 29 clinicians

Practice addresses (Care Compare)

1301 W 4TH St
Taylor, TX 76574-2447
Phone (877) 800-5722

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1208TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Jun 5, 2023 Accepting new patients
Lone Star Circle of Care CurrentSince Jun 5, 2023 Accepting new patients
Lone Star Circle of Care Family Medicine Current Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

1301 W 4th St
Taylor, TX 76574

Interoperability endpoints

  • Direct secure messaging: tamilselvi.periasamy.1@29821.direct.athenahealth.com
  • Direct secure messaging: tamilselvi.periasamy.p1@direct.lscctx.nextgenshare.com
  • Direct secure messaging: tperiasamy241050@direct.valleywisehealth.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1659913440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 4TH ST",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765742447",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 S 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850413531",
            "country_code": "US",
            "telephone_number": "602-655-6400",
            "fax_number": "602-344-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527322940",
            "country_code": "US",
            "telephone_number": "563-244-5900",
            "fax_number": "563-244-2801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Kovai Medical Center and Hospital",
            "address_2": "99, Avanashi Road",
            "address_purpose": "LOCATION",
            "city": "COIMBATORE",
            "state": "Tamilnadu",
            "postal_code": "641014",
            "country_code": "IN",
            "telephone_number": "984-307-4117",
            "country_name": "India",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "PERIASAMY",
        "first_name": "TAMILSELVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-46521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "65853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.