Individual provider Active NPI

Megan Lee Katz Selbst, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
National Provider Identifier
1780852913
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME105300 Issued in FL
Practice address
5751 Hoover Blvd
Tampa, FL 33634-5340
Phone
(813) 886-8334
Fax
(813) 490-7242
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME105300 FL Primary
Cytopathology Physician 207ZC0500X ME105300 FL

Addresses

Primary practice location

5751 Hoover Blvd
Tampa, FL 33634-5340

Mailing address

5751 Hoover Blvd
Tampa, FL 33634-5340
Phone (813) 886-8334

Other identifiers 1

IdentifierTypeStateIssuer
002336700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101025000470 FL Practitioner - Pathology 0345433165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruffolo Hooper and Associates MD PAGroup PAC ID 1355324658, 44 clinicians

Practice addresses (Care Compare)

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 886-8334

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000

Hospital & facility affiliations

  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105300FLMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruffolo Hooper & Associates MD PA Cytopathology CurrentSince Dec 19, 2014 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

13685 Doctors Way
Ste 330
Fort Myers, FL 33912
Phone (239) 224-3501

5755 Hoover Blvd
Tampa, FL 33634

5751 Hoover Blvd
Tampa, FL 33634

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Interoperability endpoints

  • Direct secure messaging: mselbst8710@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1780852913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345340",
            "telephone_number": "813-886-8334",
            "fax_number": "813-490-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345340",
            "telephone_number": "813-886-8334",
            "fax_number": "813-490-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "MEGAN",
        "middle_name": "LEE KATZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME105300",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME105300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002336700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.