NPIMap

Individual provider Active NPI

Robert D Selley, D.O.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1376807123
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
02005049A Issued in IN
Practice address
550 University Blvd Ste 641
Indianapolis, IN 46202-5149
Phone
(317) 944-1816
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101019857 MI
Diagnostic Radiology Physician 2085R0202X 02005049A IN Primary

Addresses

Primary practice location

550 University Blvd Ste 641
Indianapolis, IN 46202-5149

Mailing address

550 University Blvd Ste 641
Indianapolis, IN 46202-5149

Other practice location 1

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608000969 MI Practitioner - Diagnostic Radiology 1850534546 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (517) 975-6475

1030 Harrington St
Suite 303
Mount Clemens, MI 48043-2967
Phone (248) 922-6810

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

21510 Harrington St
Suite 100
Clinton Township, MI 48036-2378
Phone (231) 487-5849

3439 Aquarious Cir
Oakland, MI 48363-2716
Phone (469) 757-1042

36267 26 Mile Rd
Suite 2
Lenox, MI 48048-3253
Phone (586) 323-4560

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

8180 26 Mile Rd
Suite 120
Shelby Township, MI 48316-5139
Phone (231) 487-4189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.08
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 7, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Nov 14, 2024 Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 19, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Aug 19, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
McLaren Medical Group CurrentSince Nov 14, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Mar 9, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 19, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Flint CurrentSince Aug 19, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Jun 3, 2025 Accepting new patients
General Radiology Associates, P.C. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

13753 19 Mile Rd
Sterling Hts, MI 48313
Phone (586) 566-8680

Interoperability endpoints

  • Direct secure messaging: rselley1150782@direct.hfhs.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376807123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD STE 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD STE 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-944-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "248-338-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLEY",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101019857",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02005049A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.