Active NPI
Larry W Sellers, MD
- Hospitalist Physician
- Sioux City, IA
National Provider Identifier
1598714875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 26971
- Practice address
- 801 5TH St
Sioux City, IA 51101-1394 - Phone
- (712) 279-2010
- Fax
- (712) 279-5883
- NPI assigned
- May 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26971 | IA | |
| Internal Medicine Physician | 207R00000X | 21998 | NE | |
| Hospitalist Physician | 208M00000X | 26971 | IA | Primary |
Addresses
Primary practice location
801 5TH St
Sioux City, IA 51101-1394
Mailing address
PO Box 328
Sioux City, IA 51102-0328
Phone (712) 279-5830
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3053389 | Medicaid | NE | |
| 421283849-46 | Medicaid | IA | |
| 4053389 | Medicaid | IA | |
| 35828 | Other | NE | BCBSNE - SOUTH SIOUX |
| 421283849-12 | Medicaid | NE | |
| 33531 | Other | IA | WELLMARK BCBS - M.M. PHYS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100220000119 | IA | Practitioner - Internal Medicine | 5193869790 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26971 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Services | Current | Accepting new patients | |
| Mercy Medical Services | Past | Accepting new patients |
Locations
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
Interoperability endpoints
- larry.sellers.p20@direct.trinity-healthiowa.nextgenshare.com
Organizations & group practices 2
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.
-
dba MercyOne South Sioux Family Medicine
- Family Medicine Physician
- South Sioux City, NE
- NPI 1043251754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1598714875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511020328",
"telephone_number": "712-279-5830",
"fax_number": "712-279-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011394",
"telephone_number": "712-279-2010",
"fax_number": "712-279-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "LARRY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "26971",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "21998",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "26971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3053389",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421283849-46",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4053389",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNE - SOUTH SIOUX",
"identifier": "35828",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421283849-12",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS - M.M. PHYS",
"identifier": "33531",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.