Individual provider Active NPI

Selina S. P. Vail, M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1780061150
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
147437 Issued in CA
Practice address
200 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-6002
Phone
(800) 700-6424
NPI assigned
May 5, 2015
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 147437 CA Primary
Family Medicine Physician 207Q00000X 287455 NY
Family Medicine Physician 207Q00000X 56047 CT
Family Medicine Physician 207Q00000X 4301110938 MI

Addresses

Primary practice location

200 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-6002

Mailing address

200 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-6002
Phone (800) 700-6424

Other practice location 1

4531 Main St
Bridgeport, CT 06606-1846
Phone (586) 295-5039

Other practice location 2

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 763-8836

Other names 1

  • Selina S Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180521002639 CA Practitioner - Family Practice 0547525602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8501 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-3151
Phone (310) 248-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147437CAMDFamily Medicine Physician
56047CTMDFamily Medicine Physician
4301110938MIMDFamily Medicine Physician
287455NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 30, 2018 Accepting new patients

Locations

200 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 385-3307

8501 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 248-7000

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1780061150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116002",
            "telephone_number": "800-700-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116002",
            "telephone_number": "800-700-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4531 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066061846",
            "country_code": "US",
            "telephone_number": "586-295-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Coldwater Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916055162",
            "country_code": "US",
            "telephone_number": "818-763-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIL",
        "first_name": "SELINA",
        "middle_name": "S. P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "147437",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "287455",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "56047",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301110938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELINA",
            "last_name": "PATEL",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.