Active NPI
Sharlene Selvaratnam, M.D.
- Family Medicine Physician
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q7467
- Practice address
- 2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601 - Phone
- (469) 431-0544
- NPI assigned
- Jul 19, 2007
- Last updated
- Jun 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 232570 | MA | |
| Family Medicine Physician | 207Q00000X | Q7467 | TX | Primary |
Addresses
Primary practice location
2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601
Mailing address
2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601
Phone (206) 409-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2008 E Hebron Pkwy
Suite 114
Carrollton, TX 75007-1601
Phone (469) 431-0544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232570 | MA | MD | Family Medicine Physician |
| Q7467 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reshaped PLLC | Current | Accepting new patients | |
| Form Health Associates Ma, P.C. | Family Medicine | Current | Accepting new patients |
Locations
109 State St
Ste 5
Boston, MA 02109
2008 E Hebron Pkwy
Ste 114
Carrollton, TX 75007
Phone (469) 431-0544
Interoperability endpoints
- sharlene.selvaratnam.1@19284.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obesity Medicine (Family Medicine) Physician
- Carrollton, TX
- NPI 1184106510
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1972703957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 E HEBRON PKWY STE 114",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071601",
"telephone_number": "206-409-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 E HEBRON PKWY STE 114",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071601",
"telephone_number": "469-431-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVARATNAM",
"first_name": "SHARLENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "232570",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q7467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- Selah Home Healthcare Inc
- Jeanne C. Selby, PHD
- Select Operations of Carrollton LLC (Esperanza of Carrollton)
- Rachel Lee Self, FNP-C
- April Dawn Sellers
- Senior Care Transitions, LLC
- Senior Pharmacy Services, Inc. (Trinity Apothecary)
- Seniors #1Transport Services LLC
- Gretchen D Serafin, RN, RLC, IBCLC
- Seraphic Touch Kids Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.