Active NPI
Courtney Michelle Selberg, M.D.
- Pediatric Orthopaedic Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 35.152481
- Practice address
- 3333 Burnet Ave
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4787
- Fax
- (513) 636-3928
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | DR.0055302 | CO | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 35.152481 | OH | Primary |
| Orthopaedic Surgery Physician | 207X00000X | DR.0055302 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | ML60164018 | WA |
Addresses
Primary practice location
3333 Burnet Ave
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave # Mlc2017
Cincinnati, OH 45229-3026
Phone (513) 636-4787
Other names 1
- Courtney Michelle O'Donnell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60164018 | WA | MD | Orthopaedic Surgery Physician |
| 35.152481 | OH | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Current | Accepting new patients | |
| Children'S Hospital Medical Center | Past | Accepting new patients | |
| University Physicians, Incorporated | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
4315 Ivy Pointe Blvd
Cincinnati, OH 45245
Phone (513) 636-0030
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#2017
Cincinnati, OH 45229
Phone (513) 636-4454
5899 Harrison Ave
#6011
Cincinnati, OH 45248
Phone (513) 803-8200
7777 Yankee Rd
#16062
Liberty Township, OH 45044
Phone (513) 636-3200
9560 Children Dr
Bldg D
Mason, OH 45040
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
-
- Clinical Medical Laboratory
- Aurora, CO
- NPI 1396793899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1376869610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE # MLC2017",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4787",
"fax_number": "513-636-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4787",
"fax_number": "513-636-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBERG",
"first_name": "COURTNEY",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-12",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CO",
"license": "DR.0055302",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "OH",
"license": "35.152481",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.0055302",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "ML60164018",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "O'DONNELL",
"middle_name": "MICHELLE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.