Select Specialty Hospital - Evansville, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SELECT SPECIALTY HOSPITAL - EVANSVILLE, LLC

Practice address

400 SE 4TH St
Evansville, IN 47713-1206

Phone

(717) 972-1100

Fax

(717) 975-9981

NPI assigned

Dec 13, 2011

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Duggan

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Select Specialty Hospital - Evansville LLC

  • Long Term Care Hospital
  • Evansville, IN
  • NPI 1750380739

  O20120213000034

  Same enrollment

Tax ID family

Select Specialty Hospital - Evansville LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Select Specialty Hospital - Evansville LLC

  • Long Term Care Hospital
  • Evansville, IN
  • NPI 1750380739
  NPD tax ID

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faheem A. Abbasi, MD

  • Pulmonary Disease Physician
  • Indianapolis, IN
  • NPI 1043486343
  NPD
• George N Gandev, MD

  • Pulmonary Disease Physician
  • Evansville, IN
  • NPI 1548445927
  NPD
• Daria B. Lee, M.D.

  • Pulmonary Disease Physician
  • Fort Wayne, IN
  • NPI 1235199613

  Multi-Specialty

  NPD
• Sultan O. Niazi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Goshen, IN
  • NPI 1801874441
  NPD
• Rami S Wali, MD

  • Pulmonary Disease Physician
  • Fort Wayne, IN
  • NPI 1235183203
  NPD
• Imtiaz Ahmed, MD MCPS FACP FCCP

  • Pulmonary Disease Physician
  • Webster, TX
  • NPI 1215108907
  NPD
• Eduardo Enrique Chang

  • Pulmonary Disease Physician
  • The Woodlands, TX
  • NPI 1689683153
  NPD
• Patricia Deann Copley, MD

  • Pulmonary Disease Physician
  • College Station, TX
  • NPI 1619912979
  NPD
• Dennis Edwards Daniels, MD

  • Pulmonary Disease Physician
  • Poplar Bluff, MO
  • NPI 1265404222
  NPD
• Andrew Robert Fischer, M.D.

  • Pulmonary Disease Physician
  • Billings, MT
  • NPI 1962473553
  NPD
• Mohammad K Khedr, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1427051705
  NPD
• Jeffrey R Miller, MD

  • Diagnostic Radiology Physician
  • Henderson, KY
  • NPI 1134114960
  NPD

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1104194547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SE 4TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131206",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SE 4TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131206",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - EVANSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Marie Selby, PA-C
• Thomas D Selby, M.D.
• William Selby, DO
• Selcare LLC
• Select Specialty Hospital - Evansville LLC
• Audrey Jane Selke, P.T.
• Ralph A Sellers II, MD
• Amy Rena Sellers, PT
• Daniel Sellers, PA-C
• Madeline Sellers

• Hospitalist Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Hospitalist Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.