Elif Seda Selamet Tierney, MD

Key facts

NPI

1104807239

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Cardiology Physician 2080P0202X

License

C54453 (CA)

Practice address

750 Welch Rd
Palo Alto, CA 94304-1507

Phone

(650) 497-8000

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• LPCH Medical Group Div of Lucile Children's Hospital · Palo Alto, CA · NPI 1417907940
  Medicare reassignment Care Compare group NPD CA · PEDIATRICS
• Stanford Health Care General Acute Care Hospital · Stanford, CA · NPI 1437292927
  Medicare reassignment NPD CA · PEDIATRICS
• Stanford Health Care Radiation Oncology Physician · Pleasanton, CA · NPI 1124561758
  NPD
• Stanford Health Care Specialty Pharmacy · Mountain View, CA · NPI 1760366132
  NPD
• Lucile Salter Packard Children'S Hospital at Stanford Children's Hospital · Palo Alto, CA · NPI 1467442749
  NPD (past)
• Stanford Hospital and Clinics Clinical Medical Laboratory · Palo Alto, CA · NPI 1174698468
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lucile Salter Packard Children'S Hospital at Stanford Children's Hospital · Palo Alto, CA · NPI 1467442749
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)
Also: Pediatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LPCH Medical Group Div of Lucile (332 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lucile Salter Packard Children'S HSP at Stanford Hospital · Palo Alto, CA · CCN 053305

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 11, 2024.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1104807239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041507",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041507",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELAMET TIERNEY",
        "first_name": "ELIF SEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "C54453",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C54453",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080371",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ES56662",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

• Laura Seitel, PH.D
• Jennifer G Seither, NP-C
• Vienne Catherine Seitz, MD
• Samantha Brooke Sekator, AUD
• Ranvir Sekhon, LCSW
• Rosemary Selby, PH.D.
• Select Cal Physical Therapy PC
• Select Chiropractic
• Select Physical Therapy of Portola Valley Limited Partnership
• Julia Sergeevna Selezneva, MD, MS

All providers in Palo Alto, CA · Pediatric Cardiology Physician in California