Pradeep Kumar Selvaraj (NPI# 1053545913, PAC ID# 4880841709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053545913 |
| PAC ID by PECOS | 4880841709 |
| Professional Enrollment ID | I20120829000192 |
| Full Name | Pradeep Kumar Selvaraj |
| Organization Legal Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Address |
451 Bank St Woodville MS 39664-0876 |
| Phone Number | 6018883421 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547248544 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251309 | FIELD HEALTH SYSTEM |
| 250084 | MERIT HEALTH NATCHEZ |
| 250097 | SOUTHWEST MS REGIONAL MEDICAL CENTER |
| 190020 | LANE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 451 Bank St, Woodville, MS 39664-0876 | 6018883421 | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 1% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ndeke Nyirenda | Family Medicine | Field Memorial Community Hospital | 178 Hwy 24 E, Centreville, MS 39631-4171 |
| James Caulfield Leak | Family Medicine | Field Memorial Community Hospital | 434 N Captain Dr, Gloster, MS 39638 |
| Trinity J Mckenzie | Family Medicine | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| Robert L Lewis | Internal Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
| James Lee Hawley | Nurse Practitioner | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| David Burnell Mcgraw | Family Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
| Ricardo A Nimo | Internal Medicine | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| Harold G Clausen | Cardiovascular Disease (cardiology) | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| Richard J Field Iii | General Surgery | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| Alicia F Randall | Clinical Social Worker | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
| Street Address |
451 BANK ST |
| City | WOODVILLE |
| State | MS |
| Zip | 39664-0876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Lewis | Internal Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
| David Burnell Mcgraw | Family Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
| City | WOODVILLE |
| Zip Code | 39664 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Pradeep Kumar Selvaraj.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.