Individual provider Active NPI

Meredith J Selleck, MD

  • Hematology & Oncology Physician
  • Concord, NH
National Provider Identifier
1417908211
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
11936 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-7559
Phone
(036) 226-4846
Fax
(603) 622-7438
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 11936 NH Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-7559

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2623
Phone (603) 622-6484

Other identifiers 5

IdentifierTypeStateIssuer
30203793MedicaidNH
27617OtherNHCIGNA
36-00344OtherNHUNITED HEALTHCARE
01Y005195NH01OtherNHANTHEM
155780475OtherNHCHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040310000311 NH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1759279706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
New Hampshire Oncology-Hematology PAGroup PAC ID 0143290759, 14 clinicians
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, 671 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 224-2556

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (877) 332-4645

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11936NHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince Aug 3, 2020 Accepting new patients
New Hampshire Oncology-Hematology PA Hematology & Oncology CurrentSince Oct 1, 2003 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Exeter Health Resources Inc Past Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

200 Technology Dr
Hooksett, NH 03106
Phone (603) 622-6484

11 Kimball Dr
Unit 125
Hooksett, NH 03106
Phone (603) 314-6879

40 Buttrick Rd
#B
Londonderry, NH 03053

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

Interoperability endpoints

  • Direct secure messaging: selleck.meredith.dfci@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1417908211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062623",
            "telephone_number": "603-622-6484",
            "fax_number": "603-622-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "036-226-4846",
            "fax_number": "603-622-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLECK",
        "first_name": "MEREDITH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203793",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "27617",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "36-00344",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "01Y005195NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "155780475",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.