Active NPI
Selena U Park, MD
- Obstetrics & Gynecology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD600004677
- Practice address
- 9000 Rockville Pike
Bethesda, MD 20892-0001 - Phone
- (301) 496-4000
- NPI assigned
- May 29, 2019
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD600004677 | DC | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | 0101280757 | VA |
Addresses
Primary practice location
9000 Rockville Pike
Bethesda, MD 20892-0001
Mailing address
9000 Rockvillle Pike
Bethesda, MD 20892-0001
Other practice location 1
2041 Georgia Ave NW
Washington, DC 20060-0002
Phone (202) 865-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101280757 | VA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
4414 Benning Rd NE
Washington, DC 20019
Phone (202) 388-7891
2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833
Organizations & group practices 1
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.
-
dba Faculty Practice Plan Howard University
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1033163597
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1316505092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 ROCKVILLLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-496-4000"
}
],
"practiceLocations": [
{
"address_1": "2041 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200600002",
"country_code": "US",
"telephone_number": "202-865-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "SELENA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD600004677",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "VA",
"license": "0101280757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.