Individual provider Active NPI

Steven E Selub, MD

  • Specialist
  • Weston, FL
National Provider Identifier
1891775466
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME60149 Issued in FL
Practice address
2300 N Commerce Pkwy Ste 315
Weston, FL 33326-3257
Phone
(954) 217-3400
Fax
(954) 217-3462
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME60149 FL Primary

Addresses

Primary practice location

2300 N Commerce Pkwy Ste 315
Weston, FL 33326-3257

Mailing address

2300 N Commerce Pkwy
Ste 315
Weston, FL 33326-3257
Phone (954) 217-3400

Other identifiers 2

IdentifierTypeStateIssuer
12499OtherFLBCBS
054248200MedicaidFL

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
I20031216000540 FL Practitioner - GastroenterologyPractitioner - Emergency Medicine 5395642581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven E Selub MD PA CurrentSince Jun 17, 2010 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

2300 N Commerce Pkwy
Ste 313
Weston, FL 33326
Phone (954) 217-2707

2300 N Commerce Pkwy
Ste 315
Weston, FL 33326
Phone (954) 217-3400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1891775466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY",
            "address_2": "STE 315",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263257",
            "telephone_number": "954-217-3400",
            "fax_number": "954-217-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 315",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263257",
            "telephone_number": "954-217-3400",
            "fax_number": "954-217-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELUB",
        "first_name": "STEVEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME60149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12499",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054248200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.