Individual provider Active NPI

Natalie R King-Selario, DO

  • Family Medicine Physician
  • Bridgeport, WV
National Provider Identifier
1225214240
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2264 Issued in WV
Practice address
1370 Johnson Avenue
Bridgeport, WV 26330-1688
Phone
(304) 842-3330
Fax
(304) 842-3303
NPI assigned
Jan 22, 2008
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2264 WV Primary

Addresses

Primary practice location

1370 Johnson Avenue
Bridgeport, WV 26330-1688

Mailing address

1370 Johnson Avenue
Bridgeport, WV 26330-1688
Phone (304) 842-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000003 WV Practitioner - Family Practice 3577619097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport Express Care IncGroup PAC ID 8325104896, 4 clinicians

Practice addresses (Care Compare)

1370 Johnson Ave
Bridgeport, WV 26330-1492
Phone (304) 842-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2264WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Express Care Inc CurrentSince Aug 9, 2009 Accepting new patients

Locations

1370 Johnson Ave
Bridgeport, WV 26330
Phone (304) 842-3330

1370 Johnson Ave
Fl 1
Bridgeport, WV 26330
Phone (304) 842-3330

Organizations & group practices 1

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 3

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1225214240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 JOHNSON AVENUE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301688",
            "telephone_number": "304-842-3330",
            "fax_number": "304-842-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 JOHNSON AVENUE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301688",
            "telephone_number": "304-842-3330",
            "fax_number": "304-842-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-SELARIO",
        "first_name": "NATALIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.