Elliott L Semble, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

24946 Issued in NC

Practice address

751 Bethesda Rd Ste C
Winston Salem, NC 27103-3300

Phone

(336) 659-4585

Fax

(336) 659-4548

NPI assigned

Aug 30, 2005

Reactivated

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

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

Specialty

Rheumatology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elliott.semble.p1@direct.salemrheum.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Salem Rheumatology PA

  • Rheumatology Physician
  • Winston Salem, NC
  • NPI 1306478763
  Medicare reassignment NPD Authorized official

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

• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1780677237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BETHESDA RD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033300",
            "telephone_number": "336-659-4585",
            "fax_number": "336-659-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BETHESDA RD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033300",
            "telephone_number": "336-659-4585",
            "fax_number": "336-659-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBLE",
        "first_name": "ELLIOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "24946",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "24946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Josette Selman, MD
• Larkin L Selman, MD
• Leilani Seltzer, LCSW
• Dez'Monee Selvey
• Sema4 Opco, Inc.
• Ellyn Semchenko, LCSWA
• Taras Semchyshyn
• Charles Thomas Alexander Semelka, MD
• Luke Seminara, NP AGACNP-BC
• Sanchala Sen

• Rheumatology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.