Vasudevan Tiruchelvam, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD033513E Issued in PA

Practice address

2350 Freedom Way Ste 104
York, PA 17402-8265

Phone

(717) 801-1250

Fax

(717) 741-3031

NPI assigned

Nov 23, 2005

Sex

Male

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 PA

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Bariatric Surgery

  • Surgery Physician
  • York, PA
  • NPI 1619305505
  NPD

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1932182987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY",
            "address_2": "SUITE 104",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028200",
            "telephone_number": "717-801-1250",
            "fax_number": "717-741-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 104",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028265",
            "telephone_number": "717-801-1250",
            "fax_number": "717-741-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRUCHELVAM",
        "first_name": "VASUDEVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-12-15",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD033513E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099410",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tides of Change Behavioral Health Services, LLC
• Tides of Change Behavioral Health Services, LLC
• Scott Tiedebohl, M.D.
• Matthew A Tilley, DO
• Junia P Tiruchelvam, M.D.
• Kelly Lynn Tita, LBS
• Hayley A Titi, PSYD
• Duy To
• Pilar Fallon Tobin, M.S. SLP-CCC
• Jeremy Tock, PA-C

• Surgery Physician in York, PA
• Providers in York, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.