Nancy Selim, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0112202707 Issued in VA

Practice address

8991 Cotswold Dr
Burke, VA 22015-1657

Phone

(703) 440-0107

Fax

(703) 440-8246

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Revive Medicine LLC

  • Obesity Medicine (Family Medicine) Physician
  • Fairfax, VA
  • NPI 1013618255
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1750516340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8991 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151657",
            "telephone_number": "703-440-0107",
            "fax_number": "703-440-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151657",
            "telephone_number": "703-440-0107",
            "fax_number": "703-440-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIM",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA10424",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0112202707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah I Scott, MOT, OTR/L
• Ligy Tresa Sebastian, PHARM.D.
• Hashem Sedaghatpour, DMD
• Tammara Toman Seeger
• Select Physical Therapy Holdings Inc
• Serenity Residential Servicess, LLC
• Sevgi Shahbazi
• Fereshteh Khodaei Shahrokhi, LCSW
• Tara Sharif, RN
• Tina Sharma, M.P.T.

• Family Medicine Physician in Burke, VA
• Providers in Burke, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.