NPIMap

Individual provider Active NPI

Adnan A Seljuki, MD

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1174563985
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21615 Issued in AL
Practice address
2424 Danville Rd SW
Suite K
Decatur, AL 35603-4280
Phone
(256) 309-5850
Fax
(256) 309-5851
NPI assigned
Jun 8, 2006
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21615 AL Primary

Addresses

Primary practice location

2424 Danville Rd SW
Suite K
Decatur, AL 35603-4280

Mailing address

2424 Danville Rd SW
Suite K
Decatur, AL 35603-4280
Phone (256) 309-5850

Other identifiers 1

IdentifierTypeStateIssuer
009984815MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001208 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 0749256790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians
Highlands Internal Medicine, LLCGroup PAC ID 9234130543, 3 clinicians

Practice addresses (Care Compare)

11202 County Line Rd
Suite a
Madison, AL 35758-4866
Phone (256) 278-3080

2424 Danville Rd SW
Suite K
Decatur, AL 35603-4219
Phone (256) 309-5850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21615ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Madison Urgent & Primary Care, LLC CurrentSince Jul 1, 2022 Accepting new patients
Highlands Internal Medicine LLC Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Lister Healthcare Corporation Past Accepting new patients
Highlands Internal Medicine Internal Medicine Past Accepting new patients

Locations

2424 Danville Rd SW
Ste K
Decatur, AL 35603
Phone (256) 309-5850

11202 County Line Rd
Ste A
Madison, AL 35756
Phone (256) 278-3080

Interoperability endpoints

  • Direct secure messaging: adnan.seljuki.1@25534.direct.athenahealth.com
  • Direct secure messaging: adnan.seljuki.1@25760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25534/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1174563985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 DANVILLE RD SW",
            "address_2": "SUITE K",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034280",
            "telephone_number": "256-309-5850",
            "fax_number": "256-309-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 DANVILLE RD SW",
            "address_2": "SUITE K",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034280",
            "telephone_number": "256-309-5850",
            "fax_number": "256-309-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELJUKI",
        "first_name": "ADNAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009984815",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.