Anand Selvam, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD60824986 Issued in WA

Practice address

530 Bogachiel Way
Forks, WA 98331

Phone

(360) 374-6271

NPI assigned

Apr 18, 2012

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Emergency Medicine

Education

Boston University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puget Sound Physicians PLLCGroup PAC ID 2961301882, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
• Snoqualmie Valley Hospital Hospital, Snoqualmie, WA, CCN 501338

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anand.selvam.1@13869.direct.athenahealth.com
• Direct secure messaging: aselvam390318@direct.multicare.org
• FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/

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.

• Puget Sound Physicians PLLC

  • Emergency Medicine Physician
  • Bellevue, WA
  • NPI 1801900501
  Medicare reassignment Care Compare group NPD
• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Edmonds, WA
  • NPI 1447484274
  Medicare reassignment NPD
• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Medicare reassignment NPD
• Clallam County Public Hospital District No 1

  dba Forks Community Hospital

  • Critical Access Hospital
  • Forks, WA
  • NPI 1891879680
  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Friday Harbor, WA
  • NPI 1962200790
  NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Health Clinic

  • Rural Health Clinic/Center
  • Snoqualmie, WA
  • NPI 1558869289
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Clallam County Public Hospital District No 1

  dba Clallam Bay Medical Clinic

  • Rural Health Clinic/Center
  • Clallam Bay, WA
  • NPI 1235213034
  NPD (past)
• Public Hospital District No 4 King County Washington

  dba Public Hospital District No 4 Clinic

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1598971855
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  Care Compare affiliation
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Care Compare affiliation

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1962769760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 UNIVERSITY ST APT 1701",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013189",
            "telephone_number": "610-348-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BOGACHIEL WAY",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "98331",
            "telephone_number": "360-374-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cedar St",
            "address_2": "Yale Medical School",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103206",
            "country_code": "US",
            "telephone_number": "203-785-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 15th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723715",
            "country_code": "US",
            "telephone_number": "253-697-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6912 220th St SW Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432174",
            "country_code": "US",
            "telephone_number": "425-553-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVAM",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "127708",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "57.02092",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "125630",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "55175",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60824986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Robinson
• Vernon Rondeau
• Ann E Rowe, MA
• Juan R Ruiz, CDPT
• Sarah Sanders
• Susan Lee Shane, ARNP
• John M Shima, MD
• Gregory Michael Smith, PHARM.D.
• Josuah Tilus
• Cheri Ann Tinker, MSW

• Emergency Medicine Physician in Forks, WA
• Providers in Forks, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.