Individual provider Active NPI

Sellathurai K Dhayaparan, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1871528430
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239481 Issued in NY
Practice address
14203 60TH Ave
Flushing, NY 11355-5301
Phone
(718) 353-0533
Fax
(718) 353-0506
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 239481 NY
Internal Medicine Physician 207R00000X 239481 NY Primary
Emergency Medicine Physician 207P00000X 239481 NY

Addresses

Primary practice location

14203 60TH Ave
Flushing, NY 11355-5301

Mailing address

14203 60TH Ave
Flushing, NY 11355-5301
Phone (718) 353-0533

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090127000471 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6608779475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239481NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Emergency Associates Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: sellathurai.dhayaparan@dhayaparanmedicalpc.ehi.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1871528430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14203 60TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555301",
            "telephone_number": "718-353-0533",
            "fax_number": "718-353-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14203 60TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555301",
            "telephone_number": "718-353-0533",
            "fax_number": "718-353-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAYAPARAN",
        "first_name": "SELLATHURAI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "239481",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239481",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "239481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.