Individual provider Active NPI

Carmen Melania Selman, MD

  • Obstetrics & Gynecology Physician
  • Sunrise, FL
National Provider Identifier
1295938090
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME98552 Issued in FL
Practice address
1613 N. Harrison Pkwy
Suite 200
Sunrise, FL 33323
Phone
(954) 838-2588
Fax
(954) 514-3960
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME98552 FL Primary
Anesthesiology Physician 207L00000X 057260 GA
Anesthesiology Physician 207L00000X ME98552 FL

Addresses

Primary practice location

1613 N. Harrison Pkwy
Suite 200
Sunrise, FL 33323

Mailing address

P.O. Box 452317
Sunrise, FL 33345-2317
Phone (954) 838-2588

Other identifiers 1

IdentifierTypeStateIssuer
279075100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070928000621 FL Practitioner - Obstetrics/Gynecology 0042305500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
400 Quality Women'S Care of Florida LL
Hollywood, FL 33021-5429
Phone (954) 602-9723

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

601 N Flamingo Rd
203 Advanced Female Care LLC
Pembroke Pines, FL 33028-1008
Phone (954) 607-3811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057260GAMDAnesthesiology Physician
ME98552FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 1, 2013 Accepting new patients
All Womens Healthcare of South Broward Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of South Broward Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1150 N 35th Ave
Ste 400
Hollywood, FL 33021
Phone (954) 963-6363

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

601 N Flamingo Rd
Ste 205
Pembroke Pnes, FL 33028
Phone (954) 431-1211

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1295938090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 452317",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452317",
            "telephone_number": "954-838-2588",
            "fax_number": "954-514-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N. HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-838-2588",
            "fax_number": "954-514-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMAN",
        "first_name": "CARMEN",
        "middle_name": "MELANIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME98552",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "057260",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME98552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279075100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.