Individual provider Active NPI

Allan Martin Selbst, M.D.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1891094025
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME36340 Issued in FL
Practice address
1600 NW 99TH Ave
Plantation, FL 33322-4252
Phone
(954) 849-3371
Fax
(954) 370-7102
NPI assigned
Mar 28, 2011
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME36340 FL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME36340 FL
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME36340 FL

Addresses

Primary practice location

1600 NW 99TH Ave
Plantation, FL 33322-4252

Mailing address

1600 NW 99TH Ave
Plantation, FL 33322-4252
Phone (954) 849-3371

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
I20151112000802 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 0143530675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME36340FLMDAddiction Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1891094025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 99TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224252",
            "telephone_number": "954-849-3371",
            "fax_number": "954-370-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 99TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224252",
            "telephone_number": "954-849-3371",
            "fax_number": "954-370-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "ALLAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME36340",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME36340",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME36340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.