Ananda Selvaraj, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

ME0048301 Issued in FL

Practice address

1281 S Patrick Dr
45TH Medical Group
Patrick AFB, FL 32925-3604

Phone

(321) 494-6412

Fax

(321) 494-1378

NPI assigned

Sep 12, 2005

Last updated

Jul 13, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972598423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 PORPOISE ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525640",
            "telephone_number": "321-459-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 S PATRICK DR",
            "address_2": "45TH MEDICAL GROUP",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253604",
            "telephone_number": "321-494-6412",
            "fax_number": "321-494-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "ANANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME0048301",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A032311",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MI",
            "license": "4301035614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rathweg, LCSW
• Craig H Rice, DMD
• Karla J Rombaldi Smith, BSN RN
• Sharon Samayoa, RPH
• Leonard Wesley Schubring, PA C
• Travis M Sloan, D.O.
• William Alexander Steele, PA
• Richard Warren Sumrall, MD
• Nicole E Tafuri, D.O.
• Zanett M Thomas, PA

• Body Imaging Physician in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Body Imaging Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.