Active NPI
Selena Fu, MD, LLC
- Ophthalmology Physician
- Overland Park, KS
National Provider Identifier
1891328720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SELENA FU, MD, LLC
- Practice address
- 10500 Quivira Rd
Overland Park, KS 66215-2306 - Phone
- (917) 623-5442
- NPI assigned
- Feb 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Selena Fu, MD
- Title
- President
- Phone
- (917) 623-5442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X |
Addresses
Primary practice location
10500 Quivira Rd
Overland Park, KS 66215-2306
Mailing address
3147 W 145TH Ter
Leawood, KS 66224-3755
Phone (917) 623-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13300 Metcalf Ave
Overland Park, KS 66213
Phone (913) 387-1104
10620 W 87th St
Overland Park, KS 66214
Phone (913) 549-4855
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1730296963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1891328720",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152306",
"telephone_number": "917-623-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELENA FU, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "FU",
"authorized_official_first_name": "SELENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-623-5442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.