Individual provider Active NPI

Alan Edward Selkin, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
National Provider Identifier
1508912759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
032784 Issued in CT
Practice address
56 Lafayette PL
Greenwich, CT 06830-5430
Phone
(203) 661-2277
Fax
(203) 661-2533
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 032784 CT Primary
Gastroenterology Physician 207RG0100X 187338 NY

Addresses

Primary practice location

56 Lafayette PL
Greenwich, CT 06830-5430

Mailing address

56 Lafayette PL
Greenwich, CT 06830-5430
Phone (203) 661-2277

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
I20041025000058 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 9931160140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians

Practice addresses (Care Compare)

85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy269
Upper gastrointestinal (GI) endoscopy for acid reflux217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032784CTMDGastroenterology Physician
187338NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Endoscopy LLC Gastroenterology Current Accepting new patients
Connecticut Gi PLLC Gastroenterology CurrentSince Jan 1, 2022 Accepting new patients
Alan E Selkin MD Gastroenterology PastSince Jun 7, 2004 Accepting new patients
Litchfield County Gastroenterology Associates, LLC Gastroenterology Past Accepting new patients

Locations

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

Interoperability endpoints

  • Direct secure messaging: alan.selkin@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 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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508912759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305430",
            "telephone_number": "203-661-2277",
            "fax_number": "203-661-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305430",
            "telephone_number": "203-661-2277",
            "fax_number": "203-661-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELKIN",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "032784",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "187338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.