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SELENA ANNE LANTRY, M.D., INC
NPI 1053614404
Specialist in Glendale, CA

Active since December 07, 2010
1505 WILSON TER STE 130, GLENDALE, CA 91206(818) 247-2164 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Selena Anne Lantry, M.d., Inc NPPES

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

SELENA ANNE LANTRY, M.D., INC (NPI 1053614404) is a healthcare organization registered as a specialist in Glendale, California and active in the NPI registry since December 2010. The organization lists Selena Anne Lantry, President, as its authorized official.

NPPES Registry Identity

NPI1053614404
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSELENA ANNE LANTRY, M.D., INC
Location Address1505 WILSON TER STE 130Glendale, CA 91206-4074
Mailing Address1505 Wilson Ter Ste 130Glendale, CA 91206-4074
Phone(818) 247-2164
Organization SubpartNo
Authorized OfficialSelena Anne LantryPresident · (818) 247-2164
Enumeration DateDecember 7, 2010
✔ NPI 1053614404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G55968
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1505 WILSON TER STE 130, Glendale, CA 91206
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Other Identifiers 1

Medicaid00G559681CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selena Anne Lantry, M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120426000364Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Selena Anne Lantry, M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Selena Lantry, M.D,
Obstetrics/Gynecology
NPI 1063501880
1505 WILSON TER STE 130
Glendale, CA 91206
(818) 247-2164
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Selena Anne Lantry, M.D., Inc's NPI number?

The NPI number for Selena Anne Lantry, M.D., Inc is 1053614404. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Selena Anne Lantry, M.D., Inc located?

Selena Anne Lantry, M.D., Inc is located at 1505 Wilson Ter Ste 130, Glendale, CA 91206. The listed phone number is (818) 247-2164.

What is Selena Anne Lantry, M.D., Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Selena Anne Lantry, M.D., Inc enrolled in Medicare?

Yes. Selena Anne Lantry, M.D., Inc is registered in the Medicare PECOS enrollment system.

When is Selena Anne Lantry, M.D., Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Selena Anne Lantry, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Selena Anne Lantry, M.D., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Selena Anne Lantry, M.D., Inc was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.