Deepan Selvadurai, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

258143 Issued in NY

Practice address

3055 Southwestern Blvd Ste 108
Orchard Park, NY 14127-1231

Phone

(716) 671-9020

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo Ophthalmology, PLLCGroup PAC ID 3173821659, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.6 of 100Reported as group

Quality

97.2

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dselvadurai@buffaloophthalmology.medentdirect.com

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.

• Buffalo Ophthalmology PLLC

  • Ophthalmology Physician
  • Williamsville, NY
  • NPI 1497112734
  Medicare reassignment Care Compare group NPD
• Buffalo Optique LLC

  • Health Service Clinic/Center
  • Orchard Park, NY
  • NPI 1013629377
  Medicare reassignment NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1790795433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215725",
            "telephone_number": "716-633-7386",
            "fax_number": "716-204-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD STE 108",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231",
            "telephone_number": "716-671-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 Main St",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215800",
            "country_code": "US",
            "telephone_number": "716-632-3545",
            "fax_number": "716-632-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 International Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215725",
            "country_code": "US",
            "telephone_number": "716-633-7386",
            "fax_number": "716-204-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVADURAI",
        "first_name": "DEEPAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "258143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03256860",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719437000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdollah Sedighi, MD
• James David Sedwick, ED.M., CCMHC, LMHC
• Phillip James Seereiter Jr., M.D.
• Robyn Lee Seibert
• Emily K Selbert
• Jessica Joan Senn, OTR/L
• Kristie Senner, SLP
• Paula Anne Sepanik, D.D.S.
• Serenity Wellness Mental Health Counseling PLLC
• Christopher James Seufert, MSW

• Ophthalmology Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.