Individual provider Active NPI

Daniel C. Sellman, M.D.

  • Orthopaedic Surgery Physician
  • Beloit, WI
National Provider Identifier
1548325616
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42660-20 Issued in WI
Practice address
1905 E Huebbe Pkwy
Beloit Clinic
Beloit, WI 53511-1842
Phone
(608) 364-2230
Fax
(608) 363-7395
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 42660 WI
Orthopaedic Surgery Physician 207X00000X 42660-20 WI Primary

Addresses

Primary practice location

1905 E Huebbe Pkwy
Beloit Clinic
Beloit, WI 53511-1842

Mailing address

1905 E Huebbe Pkwy
Beloit Health System Beloit Clinic
Beloit, WI 53511-1842
Phone (608) 364-2200

Other identifiers 1

IdentifierTypeStateIssuer
34015300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000624 WI Practitioner - Orthopedic Surgery 5698735777 Reassigns benefits to 1 organization
I20140605002161 IL Practitioner - Orthopedic Surgery 5698735777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42660-20WIMDOrthopaedic Surgery Physician
42660WIMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Health System, Inc CurrentSince Sep 16, 2013 Accepting new patients
Beloit Clinic, S.C. Orthopaedic Surgery Current Accepting new patients
Beloit Health System, Inc CurrentSince Sep 16, 2013 Accepting new patients
Beloit Health System Inc Orthopaedic Surgery Current Accepting new patients
Beloit Health System Inc Orthopaedic Surgery CurrentSince Jan 7, 2014 Accepting new patients
DHP of Desoto Professional Association Orthopaedic Surgery Past Accepting new patients
Mid-South Orthopedic Hospitalists LLC Orthopaedic Surgery Past Accepting new patients

Locations

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1548325616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "BELOIT HEALTH SYSTEM BELOIT CLINIC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "BELOIT CLINIC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2230",
            "fax_number": "608-363-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLMAN",
        "first_name": "DANIEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "WI",
            "license": "42660",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "42660-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34015300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.