Individual provider Active NPI

Vijairam Selvaraj, MD

  • Internal Medicine Physician
  • Greenfield, MA
National Provider Identifier
1942566856
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265208 Issued in MA
Practice address
164 High Street
Greenfield, MA 01301-2613
Phone
(413) 772-0211
NPI assigned
Apr 4, 2012
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD15457 RI
Internal Medicine Physician 207R00000X 265208 MA Primary
Hospitalist Physician 208M00000X 265208 MA
Hospitalist Physician 208M00000X MD15457 RI

Addresses

Primary practice location

164 High Street
Greenfield, MA 01301-2613

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

455 Toll Gate Road
Warwick, RI 02886-2759
Phone (401) 737-7010

Other practice location 2

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

Other practice location 3

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160525001400 MA Practitioner - HospitalistPractitioner - Internal Medicine 9931425287 Reassigns benefits to 2 organizations
I20160823002521 RI Practitioner - Internal Medicine 9931425287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102

25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265208MAMDInternal Medicine Physician
252962MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Jan 13, 2026 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 25, 2016 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 25, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Lifespan of Massachusetts - Taunton Inc Past Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: vselvaraj643337@direct.ynhh.org
  • Direct secure messaging: vselvaraj71228@direct.southcoast.org

Organizations & group practices 8

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 5

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1942566856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012613",
            "telephone_number": "413-772-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Toll Gate Road",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Page St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403464",
            "country_code": "US",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "VIJAIRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD15457",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "265208",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "265208",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD15457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.