Individual provider Active NPI

Selena Y Fu, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1730296963
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-37971 Issued in KS
Practice address
13300 Metcalf Ave
Overland Park, KS 66213-2804
Phone
(913) 387-1104
Fax
(816) 208-0602
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.092189 OH
Ophthalmology Physician 207W00000X A109292 CA
Ophthalmology Physician 207W00000X 4301091335 MI
Ophthalmology Physician 207W00000X M7977 TX
Ophthalmology Physician 207W00000X 2015044685 MO
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 2015044685 MO
Ophthalmology Physician 207W00000X 04-37971 KS Primary

Addresses

Primary practice location

13300 Metcalf Ave
Overland Park, KS 66213-2804

Mailing address

3147 W 145TH Ter
Leawood, KS 66224-3755
Phone (917) 623-5442

Other practice location 1

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Other practice location 2

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (917) 623-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150811005661 KS Practitioner - Ophthalmology 3274619929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13300 Metcalf Ave
Overland Park, KS 66213-2804
Phone (913) 387-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301091335MIMDOphthalmology Physician
2015044685MOMDOphthalmology Physician
35.092189OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Eye Associates Ophthalmology CurrentSince Jan 16, 2013 Accepting new patients
Selena Fu, MD, LLC Ophthalmology CurrentSince Feb 20, 2020 Accepting new patients
Summit Anesthesia Group, Inc. Past Accepting new patients
Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc Past Accepting new patients
Marcos Lemor, MD a Medical Corporation Ophthalmology PastSince Aug 10, 2016 Accepting new patients

Locations

320 S Garfield Ave
Ste 226
Alhambra, CA 91801
Phone (626) 282-9090

600 N Garfield Ave
Ste 3111
Monterey Park, CA 91754
Phone (626) 288-8186

600 N Garfield Ave
#3111
Monterey Park, CA 91754
Phone (626) 288-8186

160 E Artesia St
Ste 325
Pomona, CA 91767
Phone (909) 620-5200

13300 Metcalf Ave
Overland Park, KS 66213
Phone (913) 387-1104

10620 W 87th St
Overland Park, KS 66214
Phone (913) 549-4855

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1730296963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 W 145TH TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243755",
            "telephone_number": "917-623-5442",
            "fax_number": "816-208-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132804",
            "telephone_number": "913-387-1104",
            "fax_number": "816-208-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 NW 88TH ST",
            "address_purpose": "LOCATION",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "country_code": "US",
            "telephone_number": "816-746-9800",
            "fax_number": "816-587-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "917-623-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "SELENA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.092189",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A109292",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301091335",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M7977",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2015044685",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2015044685",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-37971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.