Individual provider Active NPI

Magali M Selem, M,D,

  • Pediatrics Physician
  • Cutler Bay, FL
National Provider Identifier
1437138690
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0062986 Issued in FL
Practice address
10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone
(305) 253-5100
Fax
(305) 252-4837
NPI assigned
Jan 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0062986 FL Primary

Addresses

Primary practice location

10300 SW 216TH St
Cutler Bay, FL 33190-1003

Mailing address

PO Box 140219
Coral Gables, FL 33114-0219

Other identifiers 1

IdentifierTypeStateIssuer
371537000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111007000198 FL Practitioner - Pediatric Medicine 5890967210 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062986FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc. CurrentSince Sep 3, 2011 Accepting new patients
Community Health of South Florida, Inc CurrentSince Sep 3, 2011 Accepting new patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

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": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1437138690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140219",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331140219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100",
            "fax_number": "305-252-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEM",
        "first_name": "MAGALI",
        "middle_name": "M",
        "credential": "M,D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0062986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371537000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.