Individual provider Active NPI

Tony P. Sellitti, MD

  • Ophthalmology Physician
  • Steubenville, OH
National Provider Identifier
1366441446
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
350662455 Issued in OH
Practice address
2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496
Phone
(740) 264-7148
Fax
(740) 264-6957
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 350662455 OH Primary
Ophthalmology Physician 207W00000X 17672 WV

Addresses

Primary practice location

2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496

Mailing address

2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496
Phone (740) 264-7148

Other identifiers 1

IdentifierTypeStateIssuer
0975022MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100225000028 OH Practitioner - Ophthalmology 4183657208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Steuben Ophthalmologists, Inc.Group PAC ID 3274566393, 2 clinicians

Practice addresses (Care Compare)

2315 Sunset Blvd
Steubenville, OH 43952-2433
Phone (740) 264-7148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350662455OHMDOphthalmology Physician
17672WVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Steuben Ophthalmologists, Inc. Ophthalmology CurrentSince Jul 1, 1994 Accepting new patients

Locations

2315 Sunset Blvd
Ste B
Steubenville, OH 43952
Phone (740) 264-7148

2315 Sunset Blvd
Steubenville, OH 43952
Phone (740) 266-7006

703 Colliers Way
Weirton, WV 26062
Phone (304) 723-3355

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1366441446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "STE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "STE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLITTI",
        "first_name": "TONY",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "350662455",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "17672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.