Tanya R Sellers-Hannibal, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01173 Issued in MD

Practice address

10085 Red Run Blvd
Suite 305
Owings Mills, MD 21117-4836

Phone

(410) 581-8331

Fax

(410) 581-8332

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tanya Rochelle Sellers Former name

Medicare fee-for-service enrollment

Enrolled in MD

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsellershannibal1487@direct.umm.edu

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.

• Tanya R. Sellers-Hannibal, DPM, PC

  • Foot Surgery Podiatrist
  • Owings Mills, MD
  • NPI 1508180712
  Medicare reassignment NPD Authorized official
• Professional Management Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1144653288
  NPD (past)
• Professional Management Services, LLC

  • Podiatrist
  • Baltimore, MD
  • NPI 1699731810
  NPD (past)
• Robert B Kroopnick MD Facp PLLC

  • Internal Medicine Physician
  • Finksburg, MD
  • NPI 1730873084
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1972503829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 305",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-581-8331",
            "fax_number": "410-581-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 305",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-581-8331",
            "fax_number": "410-581-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS-HANNIBAL",
        "first_name": "TANYA",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01173",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119128400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T366",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "SELLERS",
            "middle_name": "ROCHELLE",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miriam Segal
• Daniel Alan Segar, PTA
• Nanette Segar
• Sarah Segelman, BT
• Preeti Sehdev, PHARM.D.
• Seniorconnections, Inc
• Annie Sensabaugh
• Seraphim Partners LLC
• Serendipity Enterprises Incorporated
• Serendipity Healthcare, Incororated

• Podiatrist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.