Individual provider Active NPI

Charles W. Seltzer, MD

  • Obesity Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1043463250
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
MD437081 Issued in PA
Practice address
1429 Walnut St
Suite 1101
Philadelphia, PA 19102-3218
Phone
(215) 279-8376
Fax
(215) 933-5593
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X MD437081 PA Primary

Addresses

Primary practice location

1429 Walnut St
Suite 1101
Philadelphia, PA 19102-3218

Mailing address

1429 Walnut St
Suite 1101
Philadelphia, PA 19102-3218
Phone (215) 279-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 28, 2018 through Nov 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD437081PAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Depersia, Chernoff & Ocasio, PC PastSince Jul 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inspira Health Network Medical Group, P.C. PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1043463250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 WALNUT ST",
            "address_2": "SUITE 1101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023218",
            "telephone_number": "215-279-8376",
            "fax_number": "215-933-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 WALNUT ST",
            "address_2": "SUITE 1101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023218",
            "telephone_number": "215-279-8376",
            "fax_number": "215-933-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "PA",
            "license": "MD437081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.