Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Prakash Selvaraj, MD

Individual provider Ophthalmology Physician · NPI 1467454124

Dr. Prakash Selvaraj, MD is an Ophthalmology in Bolingbrook, Illinois. Graduated from Ohio State University College of Medicine in 1990, 36 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
36
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

396 Remington Blvd Ste 340
Bolingbrook, IL 60440-1732
Phone: (630) 759-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 036-095872 (IL)

Record details

NPI number1467454124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESOctober 4, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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