Individual provider Active NPI

Islon Seliger, MD

  • Neurology Physician
  • Pembroke Pines, FL
National Provider Identifier
1669425443
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0035617 Issued in FL
Practice address
12596 Pines Blvd
Pembroke Pines, FL 33027-1766
Phone
(954) 437-4000
Fax
(954) 433-5257
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0035617 FL Primary

Addresses

Primary practice location

12596 Pines Blvd
Pembroke Pines, FL 33027-1766

Mailing address

6245 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308-1998
Phone (954) 956-1966

Other identifiers 1

IdentifierTypeStateIssuer
038786000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120618000209 FL Practitioner - Neurology 9931363280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0035617FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Eeg Associates, Inc. Neurology Past Accepting new patients
Sunrise Medical Group Inc Neurology Past Accepting new patients
Sunrise Medical Group I, LLC Neurology PastSince Aug 23, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1669425443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY",
            "address_2": "STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "954-956-1966",
            "fax_number": "954-745-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271766",
            "telephone_number": "954-437-4000",
            "fax_number": "954-433-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGER",
        "first_name": "ISLON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0035617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038786000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.