Perin Sorab Thavaseelan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55639 Issued in MA

Practice address

Pleasant Valley Internists PC
60 East St Suite 1400
Methuen, MA 01844

Phone

(978) 689-0869

Fax

(978) 689-3096

NPI assigned

Aug 2, 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 MA

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1861409989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLEASANT VALLEY INTERNISTS PC",
            "address_2": "60 EAST ST SUITE 1400",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-689-0869",
            "fax_number": "978-689-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLEASANT VALLEY INTERNISTS PC",
            "address_2": "60 EAST ST SUITE 1400",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-689-0869",
            "fax_number": "978-689-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAVASEELAN",
        "first_name": "PERIN",
        "middle_name": "SORAB",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "55639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Snow Tetreault
• Vick Indravadan Thakkar, DDS
• Jasmine Thammalangsy, PA
• Lucy Sharin Thanos, RN
• Dorairayu Thavaseelan, MD
• The Practice Dr Joulak PC
• The Practice OB/GYN PC
• The Practice OB/GYN Steward, PC
• The Practice OBGYN Dr Joulak PC
• The Rehabilitation Network of New England

• Internal Medicine Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.