Individual provider Active NPI

Yamil Selman, M.D.

  • Otolaryngology Physician
  • Hollywood, FL
National Provider Identifier
1346635513
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME150190 Issued in FL
Practice address
1150 N 35TH Ave Ste 670
Hollywood, FL 33021-5435
Phone
(954) 265-1700
Fax
(954) 276-0623
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD470209 PA
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X ME150190 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 670
Hollywood, FL 33021-5435

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other identifiers 1

IdentifierTypeStateIssuer
110871400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200707001009 PA Practitioner - Otolaryngology 9436572633 Reassigns benefits to 1 organization
I20210812000425 FL Practitioner - Otolaryngology 9436572633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 540
Hollywood, FL 33021-5431
Phone (954) 265-2750

1150 N 35TH Ave
Suite 670
Hollywood, FL 33021-5435
Phone (954) 265-1700

603 N Flamingo Rd
Suite 151
Pembroke Pines, FL 33028-1021
Phone (954) 265-2750

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150190FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Otolaryngology CurrentSince Jul 1, 2020 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2021 Accepting new patients
South Broward Hospital District Otolaryngology CurrentSince Aug 1, 2021 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3521 Silverside Rd
Ste 1L
Wilmington, DE 19810
Phone (302) 477-1991

1150 N 35th Ave
Ste 670
Hollywood, FL 33021
Phone (954) 265-1700

1150 N 35th Ave
Ste 540
Hollywood, FL 33021
Phone (954) 265-2750

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

603 N Flamingo Rd
Ste 151
Pembroke Pines, FL 33028

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 4

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 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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1346635513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 670",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215435",
            "telephone_number": "954-265-1700",
            "fax_number": "954-276-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMAN",
        "first_name": "YAMIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD470209",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME150190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110871400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.