Active NPI
Eric Sellers
- Internal Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL38301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Current | 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.
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1922192186
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.