Individual provider Active NPI

Robert Mark Selig, M.D., FAAP

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1932169109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD019761E Issued in PA
Practice address
8945 Ridge Ave
Suites 3, 4 & 5
Philadelphia, PA 19128-2036
Phone
(215) 483-8558
Fax
(215) 487-1270
NPI assigned
Mar 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD019761E PA Primary

Addresses

Primary practice location

8945 Ridge Ave
Suites 3, 4 & 5
Philadelphia, PA 19128-2036

Mailing address

8945 Ridge Ave
Suites 3, 4 & 5
Philadelphia, PA 19128-2036
Phone (215) 483-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151218000083 PA Practitioner - Pediatric Medicine 5496056384 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019761EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Robert M Selig MD T a Andorra Pediatrics Pediatrics PastSince Dec 8, 2015 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932169109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVE",
            "address_2": "SUITES 3, 4 & 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282036",
            "telephone_number": "215-483-8558",
            "fax_number": "215-487-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVE",
            "address_2": "SUITES 3, 4 & 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282036",
            "telephone_number": "215-483-8558",
            "fax_number": "215-487-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIG",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D., FAAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD019761E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.