DR. SAMUEL THOMAS SELBY D.O.
NPI 1114283652
Pediatrics - Pediatric Emergency Medicine in Fort Worth, TX

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4095 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2021, Jul 30, 2018, Nov 14, 2016 (3 updates tracked since 2016).

About Dr. Samuel Thomas Selby D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL THOMAS SELBY D.O. (NPI 1114283652) is an individual pediatric emergency medicine provider in Fort Worth, Texas, licensed in Texas (R6899) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114283652
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. SAMUEL THOMAS SELBYCredential: D.O.
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860 · Fax (682) 885-1396
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateApril 9, 20213 updates tracked since enumeration
NPI 1114283652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in TX · R6899
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License E-9382 (AR)
801 7TH AVE, Fort Worth, TX 76104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Thomas Selby D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385963990
PECOS Enrollment IDI20180522000126
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Selby's NPI number?

The NPI number for Samuel Selby is 1114283652. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Samuel Selby located?

Samuel Selby practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.

What is Samuel Selby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Samuel Selby enrolled in Medicare?

Yes. Samuel Selby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Selby accept?

Health plans from Baylor Scott and White Health Plan list Samuel Selby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Selby was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.