Individual provider Active NPI

Steven Richard Sella, DPM

  • Podiatrist
  • Gaylord, MI
National Provider Identifier
1356531628
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001770 Issued in MI
Practice address
854 N Center Ave
Ste 2
Gaylord, MI 49735-1686
Phone
(989) 732-0570
Fax
(989) 732-0512
NPI assigned
Aug 1, 2007
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001770 MI Primary
Podiatrist 213E00000X 55001770 MI

Addresses

Primary practice location

854 N Center Ave
Ste 2
Gaylord, MI 49735-1686

Mailing address

854 N Center Ave
Ste 2
Gaylord, MI 49735-1686
Phone (989) 732-0570

Other identifiers 4

IdentifierTypeStateIssuer
M036440OtherCHAMPUS
3408855MedicaidMI
480025475OtherRR MEDICARE
4856910190OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000583 MI Practitioner - Podiatry 1557500022 Practice locations: Gaylord, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 W Main St
Suite 114
Gaylord, MI 49735-1870
Phone (989) 732-0570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions60
Removal of nail tissue37
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55001770MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R Sella DPM PLLC Podiatrist Past Accepting new patients
Sic of Michigan, PC PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 2

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 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1356531628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 N CENTER AVE",
            "address_2": "STE 2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351686",
            "telephone_number": "989-732-0570",
            "fax_number": "989-732-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 N CENTER AVE",
            "address_2": "STE 2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351686",
            "telephone_number": "989-732-0570",
            "fax_number": "989-732-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLA",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001770",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "55001770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M036440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480025475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4856910190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.