Individual provider Active NPI

Andrew Niroshan Selvarajah, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1669764635
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C207785 Issued in CA
Practice address
635 N Fairbanks CT
Chicago, IL 60611-5435
Phone
(312) 472-3173
Fax
(312) 472-3176
NPI assigned
May 10, 2011
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 C207785 CA Primary
Family Medicine Physician 207Q00000X 036147132 IL

Addresses

Primary practice location

635 N Fairbanks CT
Chicago, IL 60611-5435

Mailing address

9977 Woods Dr FL 1
Skokie, IL 60077-1057
Phone (224) 364-2273

Other practice location 1

4410 106th St SW
Mukilteo, WA 98275-4700
Phone (425) 493-6000

Other practice location 2

9977 Woods Dr Fl 1
Skokie, IL 60077
Phone (224) 364-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190418000756 IL Practitioner - Family Practice 6406085810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1704 Maple Ave
Suite 100
Evanston, IL 60201-3134
Phone (312) 926-6146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Apr 5, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2021 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

1704 Maple Ave
Ste 100
Evanston, IL 60201
Phone (312) 694-2273

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

9977 Woods Dr
Fl 1
Skokie, IL 60077

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1669764635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR FL 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N FAIRBANKS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115435",
            "telephone_number": "312-472-3173",
            "fax_number": "312-472-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 106th St SW",
            "address_purpose": "LOCATION",
            "city": "Mukilteo",
            "state": "WA",
            "postal_code": "982754700",
            "country_code": "US",
            "telephone_number": "425-493-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9977 Woods Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60077",
            "country_code": "US",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVARAJAH",
        "first_name": "ANDREW",
        "middle_name": "NIROSHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C207785",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036147132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.