Active NPI
Jay R Seltzer, MD
- Nephrology Physician
- Creve Coeur, MO
National Provider Identifier
1568433902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MDR8H64
- Practice address
- 456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846 - Phone
- (314) 548-0265
- Fax
- (314) 548-6555
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MDR8H64 | MO | Primary |
Addresses
Primary practice location
456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846
Mailing address
PO Box 78429
Saint Louis, MO 63178-8429
Phone (314) 548-0265
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Barnes Jewish Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000190 | MO | Practitioner - Nephrology | 4981748514 | Reassigns benefits to 1 organization |
| I20100614000601 | IL | Practitioner - Nephrology | 4981748514 |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Missouri, Kansas City, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Louis Kidney LLC
Practice addresses (Care Compare)
2655 Muegge Rd
Saint Charles, MO 63303-3145
Phone (314) 720-0900
Hospital & facility affiliations
- DaVita Hazelwood Dialysis
- DaVita Florissant Dialysis
- DaVita Town and Country West Dialysis
- Missouri Baptist Medical Center
- Mercy Hospital St Louis
- Barnes Jewish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR8H64 | MO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hypertension and Kidney Center of St. Louis, LLC | Nephrology | Past | Accepting new patients |
| Nephrology Associates of St. Louis | Nephrology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1689088080
Nephrology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hazelwood, MO
- NPI 1194786814
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1740241454
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1508159666
Dialysis facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1568433902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78429",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631788429",
"telephone_number": "314-548-0265",
"fax_number": "314-548-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 N NEW BALLAS RD STE 348",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416846",
"telephone_number": "314-548-0265",
"fax_number": "314-548-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTZER",
"first_name": "JAY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2022-08-12",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "MDR8H64",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"endpointDescription": "EPIC",
"affiliationName": "Barnes Jewish Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OtherApplication Programming Interface (API)",
"address_1": "1 Barnes-Jewish Hospital Plz",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.