Individual provider Active NPI

Jonathan R Selbst, DPM

  • Foot & Ankle Surgery Podiatrist
  • Delray Beach, FL
National Provider Identifier
1821352881
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3651 Issued in FL
Practice address
5175 W Atlantic Ave
Ste F
Delray Beach, FL 33484-8101
Phone
(561) 638-8635
Fax
(561) 638-8632
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3651 FL Primary

Addresses

Primary practice location

5175 W Atlantic Ave
Ste F
Delray Beach, FL 33484-8101

Mailing address

5175 W Atlantic Ave
Ste F
Delray Beach, FL 33484-8101
Phone (561) 638-8635

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002597 FL Practitioner - Podiatry 5698992790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5175 W Atlantic Ave
Suite F
Delray Beach, FL 33484-8101
Phone (561) 638-8635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of nail tissue993
Removal or shaving of skin growth443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3651FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Care, LLC Foot & Ankle Surgery CurrentSince Jul 6, 2015 Accepting new patients
David S. Chen DPM PA CurrentSince Aug 3, 2015 Accepting new patients
Ace Podiatry PA PastSince Feb 21, 2017 Accepting new patients

Locations

5175 W Atlantic Ave
Ste F
Delray Beach, FL 33484
Phone (561) 495-9289

7421 N University Dr
Ste 204
Tamarac, FL 33321
Phone (954) 722-1000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jselbst@ffaacl-fl.direct.office.nextgen.com

Organizations & group practices 3

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 1

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1821352881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 W ATLANTIC AVE",
            "address_2": "STE F",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848101",
            "telephone_number": "561-638-8635",
            "fax_number": "561-638-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 W ATLANTIC AVE",
            "address_2": "STE F",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848101",
            "telephone_number": "561-638-8635",
            "fax_number": "561-638-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.