Active NPI
Jeffrey W Selby, MD
- Pulmonary Disease Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35712
- Practice address
- 10288 W State Route 66
Newburgh, IN 47630-7952 - Phone
- (812) 853-5864
- Fax
- (812) 853-5610
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35712 | KY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01027862A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 35712 | KY | Primary |
| Pulmonary Disease Physician | 207RP1001X | 01027862A | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | 71002793B | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | 3005907 | KY |
Addresses
Primary practice location
10288 W State Route 66
Newburgh, IN 47630-7952
Mailing address
PO Box 249
Newburgh, IN 47629-0249
Phone (812) 853-5864
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000307442 | Other | KY | ANTHEM |
| 000000307442 | Other | IN | ANTHEM |
| 100138760C | Medicaid | IN | |
| 64754484 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Hospital Rd
Tell City, IN 47586-2750
Phone (812) 401-5040
5010 Davis Lant Dr
Suite 1
Evansville, IN 47715-8947
Phone (812) 401-5040
701 US Hwy 60 E
Morganfield, KY 42437-1169
Phone (812) 401-5040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002793B | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Family Care PLLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- jeffrey.selby.1@29604.direct.athenahealth.com
- https://api.platform.athenahealth.com/24527/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
- Critical Access Hospital
- Morganfield, KY
- NPI 1497320519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992791685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476290249",
"telephone_number": "812-853-5864",
"fax_number": "812-853-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10288 W STATE ROUTE 66",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307952",
"telephone_number": "812-853-5864",
"fax_number": "812-853-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "35712",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01027862A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "35712",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01027862A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71002793B",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3005907",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000307442",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000307442",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100138760C",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64754484",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.