Individual provider Active NPI

Jeffrey W Selby, MD

  • Pulmonary Disease Physician
  • Newburgh, IN
National Provider Identifier
1992791685
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35712 Issued in KY
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2100X 71002793B IN
Acute Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000307442OtherKYANTHEM
000000307442OtherINANTHEM
100138760CMedicaidIN
64754484MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070221000153 IN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2769492214 Reassigns benefits to 1 organization
I20070828000327 KY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2769492214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
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

LicenseStateTypeSpecialty
71002793BINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Family Care PLLC Single Specialty PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.selby.1@29604.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.