Active NPI
Abdelrahman Selim, MD
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1235423302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0058140
- Practice address
- 4770 Baseline Rd Ste 200
Boulder, CO 80303-2668 - Phone
- (720) 715-8459
- Fax
- (720) 815-0253
- NPI assigned
- Jun 6, 2011
- Last updated
- Feb 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0058140 | CO | Primary |
Addresses
Primary practice location
4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Mailing address
4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Phone (720) 715-8459
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://shorepeak.clientsecure.me/contact-widget | Health Information Exchange (HIE) | |
| Other URL | https://www.doximity.com/pub/abdelrahman-selim-md | Health Information Exchange (HIE) | |
| Other URL | www.shorepeak.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0058140 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shorepeak Psychiatric Services, PLLC | Psychiatry | Current | Accepting new patients |
Locations
4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834
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.
-
dba ShorePeak Psychiatry and Wellness
- Psychiatry Physician
- Boulder, CO
- NPI 1427728658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1235423302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 BASELINE RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032668",
"telephone_number": "720-715-8459",
"fax_number": "720-815-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 BASELINE RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032668",
"telephone_number": "720-715-8459",
"fax_number": "720-815-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIM",
"first_name": "ABDELRAHMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0058140",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://shorepeak.clientsecure.me/contact-widget",
"affiliation": "N",
"endpointDescription": "HIPAA compliant direct contact form for patient inquiries and physician referrals.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text",
"address_1": "4770 Baseline Rd Ste 200",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803032668",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.doximity.com/pub/abdelrahman-selim-md",
"affiliation": "N",
"endpointDescription": "Personal Doximity profile where other physicians can send secure communication.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Professional profile and secure method of communication for other physicians",
"address_1": "4770 Baseline Rd Ste 200",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803032668",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.shorepeak.com",
"affiliation": "N",
"endpointDescription": "Practice Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Main source of practice info for current and prospective patients",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text",
"address_1": "4770 Baseline Rd Ste 200",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803032668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.