Individual provider Active NPI

Jared G Selter, MD

  • Interventional Cardiology Physician
  • Trumbull, CT
National Provider Identifier
1457315376
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39877 Issued in CT
Practice address
115 Technology Dr Unit C300
Trumbull, CT 06611-6347
Phone
(203) 445-7093
Fax
(203) 638-7981
NPI assigned
Apr 17, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 039877 CT
Interventional Cardiology Physician 207RI0011X 39877 CT Primary

Addresses

Primary practice location

115 Technology Dr Unit C300
Trumbull, CT 06611-6347

Mailing address

2660 Main St Ste 216
Bridgeport, CT 06606-5301
Phone (475) 210-3545

Other practice location 1

425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060602000180 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6406867506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

2800 Main St
Bridgeport, CT 06606-4201

32 Knight St
Suite 101
Norwalk, CT 06851-4707
Phone (203) 845-2460

3272 Main St
Stratford, CT 06614-4819
Phone (203) 380-3920

425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452

47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 227-1251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039877CTMDCardiovascular Disease Physician
39877CTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Aug 5, 2020 Accepting new patients
Neighborhood Health, Inc. CurrentSince Mar 7, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 5, 2020 Accepting new patients
Primary Care Physicians of Stratford, LLC Past Accepting new patients

Locations

2720 Main St
Ste 1
Bridgeport, CT 06606

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

1177 Summer St
Fl 5
Stamford, CT 06905
Phone (203) 353-1133

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

115 Technology Dr
Unit C300
Trumbull, CT 06611
Phone (203) 445-7093

Interoperability endpoints

  • Direct secure messaging: jared.selter@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1457315376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST STE 216",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065301",
            "telephone_number": "475-210-3545",
            "fax_number": "203-581-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT C300",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116347",
            "telephone_number": "203-445-7093",
            "fax_number": "203-638-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246232",
            "country_code": "US",
            "telephone_number": "203-254-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELTER",
        "first_name": "JARED",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "039877",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "39877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.