Individual provider Active NPI

Joel Scott Sellers, DO

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1710958517
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2213 Issued in AZ
Practice address
1840 E Baseline Rd Ste C-1
Tempe, AZ 85283-1527
Phone
(480) 426-2667
Fax
(480) 751-3785
NPI assigned
Jan 30, 2006
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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 2213 AZ Primary

Addresses

Primary practice location

1840 E Baseline Rd Ste C-1
Tempe, AZ 85283-1527

Mailing address

1840 E Baseline Rd Ste C-1
Tempe, AZ 85283-1527
Phone (480) 426-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040629000993 AZ Practitioner - Family PracticePractitioner - General PracticePractitioner - Sports Medicine 0941285290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sellerssportsmed LLCGroup PAC ID 9830427129, 2 clinicians

Practice addresses (Care Compare)

1492 S Mill Ave
Suite 307
Tempe, AZ 85281-5676
Phone (480) 426-2667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2213AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sellerssportsmed LLC Sports Medicine CurrentSince Jun 8, 2019 Accepting new patients

Locations

1492 S Mill Ave
Ste 307
Tempe, AZ 85281
Phone (480) 256-9270

1840 E Baseline Rd
Ste C1
Tempe, AZ 85283
Phone (480) 426-2667

1840 E Baseline Rd
Ste C2
Tempe, AZ 85283
Phone (480) 751-3777

Organizations & group practices 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1710958517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E BASELINE RD STE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831527",
            "telephone_number": "480-426-2667",
            "fax_number": "480-751-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E BASELINE RD STE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831527",
            "telephone_number": "480-426-2667",
            "fax_number": "480-751-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "JOEL",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.