Selina Sekulic, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

8370001-0501 Issued in UT

Practice address

348 E 4500 S Ste 370
Salt Lake City, UT 84107-3906

Phone

(385) 770-7203

Fax

(385) 770-7202

NPI assigned

Jun 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moab Regional Hospital Hospital, Moab, UT, CCN 461302
• St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: selina.sekulic@fkaafcl-ut.direct.office.nextgen.com

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.

• Final Kick Ankle and Foot Clinic LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1154860823
  Medicare reassignment NPD Authorized official
• Final Kick Ankle and Foot Clinic LLC

  • Foot Surgery Podiatrist
  • Moab, UT
  • NPI 1730697897
  NPD Authorized official

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

• Moab Valley Healthcare, Inc

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Care Compare affiliation
• Moab Valley Healthcare, Inc.

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394

  Hospital

  Care Compare affiliation
• Northern Utah Healthcare Corporation

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1891082830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 370",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "385-770-7203",
            "fax_number": "385-770-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 370",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "385-770-7203",
            "fax_number": "385-770-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKULIC",
        "first_name": "SELINA",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "381",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000769",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "8370001-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahand Seifollahi, PT, DPT
• Robert P Seiler, D.C.
• Kelly Seim, LCSW
• Nikkia Seiuli
• Mehtab Kaur Sekhon, MD
• Andy Sekutowski
• Selarom Surgical Center, LLC
• William John Self, FNP-C
• William J Selfridge Jr., LCSW
• Sheryl Anne Seliger, LCSW

• Foot & Ankle Surgery Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.