Individual provider Active NPI

Mark A Selland, M.D.

  • Cardiovascular Disease Physician
  • Anchorage, AK
National Provider Identifier
1669490900
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2497 Issued in AK
Practice address
3841 Piper Street
Suite T100
Anchorage, AK 99508
Phone
(907) 561-3211
Fax
(907) 562-7547
NPI assigned
Jul 17, 2006
Last updated
Oct 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 2497 AK Primary

Addresses

Primary practice location

3841 Piper Street
Suite T100
Anchorage, AK 99508

Mailing address

PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211

Other identifiers 2

IdentifierTypeStateIssuer
1011704MedicaidAK
060051658OtherAKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20060725000033 AK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113826926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.39
Promoting interoperability
95
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2497AKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Current Accepting new patients
South Peninsula Hospital, Inc Cardiovascular Disease CurrentSince May 2, 2018 Accepting new patients
Mat-Su Valley Medical Center LLC Cardiovascular Disease CurrentSince Jul 21, 2011 Accepting new patients
Alaska Heart Institute CurrentSince Mar 1, 1999 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince May 2, 2018 Accepting new patients
Mat Su Valley Medical Center LLC Current Accepting new patients
Alaska Heart Institute Cardiovascular Disease CurrentSince Mar 1, 1999 Accepting new patients

Locations

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1669490900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200149",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLAND",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AK",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011704",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060051658",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.