Individual provider Active NPI

Evan J Selsky, M.D.

  • Cardiovascular Disease Physician
  • Westminster, MD
National Provider Identifier
1659365682
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0033388 Issued in MD
Practice address
193 Stoner Ave
Suite 340
Westminster, MD 21157-5587
Phone
(410) 871-9800
Fax
(410) 871-9801
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0033388 MD Primary

Addresses

Primary practice location

193 Stoner Ave
Suite 340
Westminster, MD 21157-5587

Mailing address

193 Stoner Ave
Suite 340
Westminster, MD 21157-5587
Phone (410) 871-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20090209000165 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941365993 Reassigns benefits to 4 organizations
I20251216001056 DE Practitioner - Cardiovascular Disease (Cardiology) 0941365993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

400 Eastern Shore Dr
Salisbury, MD 21804-5513

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041

9714 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 641-3340

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
74.47
Promoting interoperability
92
Improvement activities
40
Cost
75.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corp CurrentSince Jul 7, 2025 Accepting new patients
Carroll Health Group, LLC Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 15, 2024 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Home Rehab Network, LLC CurrentSince Dec 19, 2023 Accepting new patients
Atlantic General Hospital Corporation Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

200 Federal St
Seaford, DE 19973
Phone (302) 629-9099

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

193 Stoner Ave
Ste 340
Westminster, MD 21157
Phone (410) 871-9800

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

532 Baltimore Blvd
Ste 106
Westminster, MD 21157
Phone (410) 871-4601

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 8

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 3

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1659365682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 340",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-9800",
            "fax_number": "410-871-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 340",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-9800",
            "fax_number": "410-871-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELSKY",
        "first_name": "EVAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0033388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.