NPIMap

Individual provider Active NPI

Ibrahim Selevany, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • San Diego, CA
National Provider Identifier
1992239206
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036.176419 Issued in IL
Practice address
200 W Arbor Dr
San Diego, CA 92103-8425
Phone
(619) 543-6268
NPI assigned
Apr 13, 2017
Last updated
May 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 036.176419 IL Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 60988 KY

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-8425

Mailing address

200 W Arbor Dr
San Diego, CA 92103-8425
Phone (619) 543-6268

Other practice location 1

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, IL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250805000525 IN Practitioner - Cardiac Electrophysiology 4082008115 Reassigns benefits to 2 organizations
I20250811001102 KY Practitioner - Cardiac Electrophysiology 4082008115 Reassigns benefits to 1 organization
I20260515003263 IL Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 4082008115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

1340 Il Hwy 1
Suite a
Carmi, IL 62821-4943
Phone (812) 464-9133

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 464-9133

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.176419ILMDClinical Cardiac Electrophysiology Physician
60988KYMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Clinical Cardiac Electrophysiology Current Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Clinical Cardiac Electrophysiology CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Hospital, Inc Clinical Cardiac Electrophysiology CurrentSince Nov 13, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince Nov 13, 2025 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Hospital, Inc Clinical Cardiac Electrophysiology Past Accepting new patients

Locations

1340 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Organizations & group practices 9

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1992239206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038425",
            "telephone_number": "619-543-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038425",
            "telephone_number": "619-543-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632638",
            "country_code": "US",
            "telephone_number": "618-262-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELEVANY",
        "first_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036.176419",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "60988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.