Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SELMA SU M.D.
NPI 1457813537
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Harrisburg, PA

Q: What is Selma Su's NPI number?

The NPI number for Selma Su is 1457813537. It was assigned to this individual provider in the NPPES registry on April 5, 2019. The provider is also known as Selma Mahmutovic.

Q: What is Selma Su's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Selma Su was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.

Active since April 05, 2019PECOS Enrolled

4300 LONDONDERRY RD STE 201, HARRISBURG, PA 17109(717) 791-2960(717) 791-2961 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2026, Jun 13, 2023, Jul 27, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Selma Su M.d. NPPES

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

SELMA SU M.D. (NPI 1457813537) is an individual urogynecology and reconstructive pelvic surgery provider in Harrisburg, Pennsylvania, licensed in Illinois (036.165006) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1457813537

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameSELMA SUCredential: M.D.

Location Address4300 LONDONDERRY RD STE 201Harrisburg, PA 17109-5317

Mailing Address4300 Londonderry Rd Ste 201Harrisburg, PA 17109-5317 · (717) 791-2960 · Fax (717) 791-2961

Phone(717) 791-2960

Fax(717) 791-2961

Sole ProprietorNo

Enumeration DateApril 5, 2019

Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1457813537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in IL · 036.165006

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

4300 LONDONDERRY RD STE 201, Harrisburg, PA 17109

Open in Google Maps ↗

Other Names 1

Former Name (1)Selma Mahmutovic

Secondary Practice Location 1

Location 1420 E Superior St Ste 9-900Chicago, IL 60611-4494 · Phone (312) 503-7975

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selma Su M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Selma Su's NPI number?

The NPI number for Selma Su is 1457813537. It was assigned to this individual provider in the NPPES registry on April 5, 2019. The provider is also known as Selma Mahmutovic.

Where is Selma Su located?

Selma Su practices at 4300 Londonderry Rd Ste 201, Harrisburg, PA 17109. The listed phone number is (717) 791-2960.

What is Selma Su's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Selma Su enrolled in Medicare?

Yes. Selma Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selma Su was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.