Seleverstov Medical, P.C.
NPI 1275215972ActiveOrganization· Internal Medicine· College Place, WA
Internal Medicine in College Place, Washington, registered in NPPES in August 2023. The authorized official on file is Oleksandr Seleverstov, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275215972 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2023 |
| Last updated in NPPES | Jan 29, 2025 |
| Certified by provider | Jan 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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