Individual provider Active NPI

Amanda Mae Selchau, M.D.

  • Ophthalmology Physician
  • Bend, OR
National Provider Identifier
1487009635
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD221364 Issued in OR
Practice address
2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Phone
(541) 749-4997
Fax
(541) 389-2756
NPI assigned
Apr 25, 2016
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Ophthalmology Physician 207W00000X MD221364 OR Primary

Addresses

Primary practice location

2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132

Mailing address

2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Phone (541) 749-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OR2 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
I20210712001756 NM Practitioner - Ophthalmology 9436422961 Reassigns benefits to 1 organization
I20240909002474 OR Practitioner - Ophthalmology 9436422961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infocus Eye Care LLCGroup PAC ID 2365436755, 7 clinicians

Practice addresses (Care Compare)

2450 NE Mary Rose PL
Suite 110
Bend, OR 97701-7132
Phone (541) 318-8388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD221364ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Eye Care LLC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

2450 NE Mary Rose Pl
Ste 110
Bend, OR 97701
Phone (541) 318-8388

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: aselchau@directaddress.net
  • Direct secure messaging: aselchau467905@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487009635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-749-4997",
            "fax_number": "541-389-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-749-4997",
            "fax_number": "541-389-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELCHAU",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD221364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.