Individual provider Active NPI

Monique I Sellas, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1386690931
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
227823 Issued in MA
Practice address
4204 Gardendale St
Suite 312
San Antonio, TX 78229-3132
Phone
(210) 614-0180
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 227823 MA Primary

Addresses

Primary practice location

4204 Gardendale St
Suite 312
San Antonio, TX 78229-3132

Mailing address

4204 Gardendale St
Suite 312
San Antonio, TX 78229-3132
Phone (210) 614-0180

Other identifiers 1

IdentifierTypeStateIssuer
110073526/AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131213001557 TX Practitioner - Emergency Medicine 9133122369 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227823MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 15, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jul 3, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine Past Accepting new patients

Locations

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

5510 Presidio Pkwy
San Antonio, TX 78249
Phone (210) 452-4121

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

11503 NW Military Hwy
Ste 122
San Antonio, TX 78231
Phone (210) 853-1500

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1386690931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST",
            "address_2": "SUITE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132",
            "telephone_number": "210-614-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST",
            "address_2": "SUITE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132",
            "telephone_number": "210-614-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLAS",
        "first_name": "MONIQUE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "227823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073526/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.