Individual provider Active NPI

Eric Sellers

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1720468523
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL38301 Issued in SC
Practice address
1215 Lee Street - Box Number 800708
Charlottesville, VA 22908-0001
Phone
(434) 924-2959
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL38301 SC Primary
Gastroenterology Physician 207RG0100X MD-53265 IA

Addresses

Primary practice location

1215 Lee Street - Box Number 800708
Charlottesville, VA 22908-0001

Mailing address

1215 Lee Street - Box Number 800708
Charlottesville, VA 22908-0001
Phone (434) 924-2959

Other practice location 1

1601 NW 114th St Ste 342
Clive, IA 50325-7036
Phone (515) 222-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210901002956 CO Practitioner - GastroenterologyPractitioner - Internal Medicine 5890095319 Reassigns benefits to 1 organization
I20240723003790 OK Practitioner - Gastroenterology 5890095319 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Oklahoma City, Inc CurrentSince Jul 20, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC Gastroenterology CurrentSince Jun 27, 2021 Accepting new patients

Locations

3333 S Wadsworth Blvd
Unit D100
Lakewood, CO 80227

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1720468523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE STREET - BOX NUMBER 800708",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE STREET - BOX NUMBER 800708",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NW 114th St Ste 342",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL38301",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-53265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.