Individual provider Active NPI

Klaus F. Sellheyer, MD

  • Dermatopathology Physician
  • Winter Haven, FL
National Provider Identifier
1730146564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME85014 Issued in FL
Practice address
1450 6TH St SE
Winter Haven, FL 33880-4505
Phone
(863) 293-2147
NPI assigned
Apr 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME85014 FL
Dermatopathology Physician 207ND0900X ME85014 FL Primary

Addresses

Primary practice location

1450 6TH St SE
Winter Haven, FL 33880-4505

Mailing address

1450 6TH St SE
Winter Haven, FL 33880-4505
Phone (863) 293-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1450 6TH St SE
Winter Haven, FL 33880-4505

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions331
Removal or shaving of skin growth34
Skin biopsy323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K Wade Foster MD PA CurrentSince Jun 1, 2016 Accepting new patients
Dermatology & Skin Surgery Center PastSince Mar 1, 2004 Accepting new patients
Jefferson University Physicians Dermatology Past Accepting new patients
Wesley S Wilborn MD PC Dermatology Past Accepting new patients
Brookline Village Dermatology PC Past Accepting new patients
Maurice a.Thew M.D., P.a. Dermatology Past Accepting new patients

Locations

3725 S US Highway 27
Ste 105
Clermont, FL 34711
Phone (352) 717-0644

421 Linden Ln
Lake Wales, FL 33853
Phone (863) 293-2147

1450 6th St SE
Winter Haven, FL 33880
Phone (863) 293-2147

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730146564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-293-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-293-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLHEYER",
        "first_name": "KLAUS",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85014",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME85014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.