NPIMap

Individual provider Active NPI

Thomas Selznick, D.O.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1679553465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008407 Issued in MI
Practice address
17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Phone
(734) 464-9540
Fax
(734) 464-0438
NPI assigned
Jan 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008407 MI Primary

Addresses

Primary practice location

17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700

Mailing address

17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Phone (734) 464-9540

Other identifiers 1

IdentifierTypeStateIssuer
1950650MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000173 MI Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Internal Medicine 1153315403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

17800 Newburgh Rd
103 Livonia Family Physicians
Livonia, MI 48152-2794
Phone (734) 464-9540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC Family Medicine CurrentSince Sep 4, 2021 Accepting new patients
Envision Medical Group PLLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
Envision Medical Group PLLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
Continuum Psychiatric Services, LLP Past Accepting new patients
Livonia Family Physicians, PC Family Medicine PastSince Apr 17, 2003 Accepting new patients
Continuum Geriatric Services PLLC Family Medicine PastSince Jun 1, 2004 Accepting new patients
Livonia Family Physicians, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Michigan PC Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

26600 Ann Arbor Trl
Dearborn Heights, MI 48127
Phone (313) 278-6403

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

17800 Newburgh Rd
Ste 103
Livonia, MI 48152
Phone (734) 464-9540

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: thomas.selznick.1@21803.direct.athenahealth.com
  • Direct secure messaging: tselznick363223@direct.hfhs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679553465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 NEWBURGH RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522700",
            "telephone_number": "734-464-9540",
            "fax_number": "734-464-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 NEWBURGH RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522700",
            "telephone_number": "734-464-9540",
            "fax_number": "734-464-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELZNICK",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.