Individual provider Active NPI

Abdelrahman Selim, MD

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1235423302
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0058140 Issued in CO
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DR.0058140COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.