Prakash Selvaraj (NPI# 1467454124, PAC ID# 6103844527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1467454124 |
| PAC ID by PECOS | 6103844527 |
| Professional Enrollment ID | I20051103001174 |
| Full Name | Prakash Selvaraj |
| Address |
396 Remington Blvd Suite 340 Bolingbrook IL 60440-4310 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140018 | MT SINAI HOSPITAL MEDICAL CENTER |
| 140304 | ADVENTIST BOLINGBROOK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-4310 | ||
| 111 N Wabash Ave, Suite 1610, Chicago, IL 60602-2008 | ||
| 1401 S California Ave, Chicago, IL 60608-1858 | MOUNT SINAI COMMUNITY FOUNDATION | |
| 1401 S California Ave, ', Chicago, IL 60608-1858 | 7735222467 | MOUNT SINAI COMMUNITY FOUNDATION |
| California At 15 St, Chicago, IL 60608-1858 | MOUNT SINAI COMMUNITY FOUNDATION | |
| California At 15 St, Nr 513, Chicago, IL 60608-1858 | 7732574750 | MOUNT SINAI COMMUNITY FOUNDATION |
| California Ave At 15th St, Chicago, IL 60608-1858 | MOUNT SINAI COMMUNITY FOUNDATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% |
| Street Address |
396 REMINGTON BLVD SUITE 340 |
| City | BOLINGBROOK |
| State | IL |
| Zip | 60440-4310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron K Kim | Podiatry | 396 Remington Blvd, Suite 370, Bolingbrook, IL 60440-4302 | |
| Vibha Sabharwal | Urology | Adventist Health Partners Inc | 396 Remington Blvd, Suite 310, Bolingbrook, IL 60440-4920 |
| Melissa J Kneip | Nurse Practitioner | Adventist Health Partners Inc | 396 Remington Blvd, Suite 300, Bolingbrook, IL 60440-4302 |
| Smita K Jobanputra | Obstetrics/gynecology | Femcare Obgyn Ltd | 396 Remington Blvd, Suite 250, Bolingbrook, IL 60440-4303 |
| Jason C Goliath | General Surgery | Adventist Health Partners Inc | 396 Remington Blvd, Suite 240, Bolingbrook, IL 60440-4920 |
| Megan L Koh | Gynecological Oncology | Adventist Health Partners Inc | 396 Remington Blvd, Suite 231, Bolingbrook, IL 60440-4302 |
| Ketan N Jobanputra | Obstetrics/gynecology | Femcare Obgyn Ltd | 396 Remington Blvd, Suite 250, Bolingbrook, IL 60440-4303 |
| Yong J Kim | Obstetrics/gynecology | Bolingbrook Womens Clinic S C | 396 Remington Blvd, Suite 250, Bolingbrook, IL 60440-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vafa Shayani | General Surgery | 402 S Schmidt Rd, Suite 235, Bolingbrook, IL 60440 | |
| Gary R Speulda | Clinical Psychologist | Gary R. Speulda, Psy.d. Ltd. | 4 Vigilance Ct, Bolingbrook, IL 60440-1223 |
| Ronald P Pieroni | Podiatry | 469 N Bolingbrook Dr, Bolingbrook, IL 60440-1322 | |
| Sijun Yang | Internal Medicine | 454 W Boughton Rd C, Bolingbrook, IL 60440-1378 | |
| Jeffrey M Mackler | Podiatry | 454 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1378 | |
| Amara Bukhari | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Mark J Mcnally | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Ashley Lederman | Chiropractic | Jbh Medical Corporation, Ltd | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 |
| Brian P Berry | Optometry | 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 | |
| Riddhi Pakrasi | Internal Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Find all physicians in zip 60440 | |||
| City | BOLINGBROOK |
| Zip Code | 60440 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BOLINGBROOK + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Prakash 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.