SELMA MAHMUTOVIC SU M.D.
NPI 1457813537
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Chicago, IL

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 June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 05, 2019PECOS Enrolled

420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Jul 27, 2021, Apr 5, 2019 (3 updates tracked since 2019).

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About Selma Mahmutovic Su M.d. NPPES

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

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

NPPES Registry Identity

NPI1457813537

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameSELMA MAHMUTOVIC SUCredential: M.D.

Location Address420 E SUPERIOR ST STE 9-900Chicago, IL 60611-4494

Mailing Address2730 W Armitage Ave Apt 3eChicago, IL 60647-4326

Phone(312) 503-7975

Sole ProprietorNo

Enumeration DateApril 5, 2019

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ 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.

420 E SUPERIOR ST STE 9-900, Chicago, IL 60611

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Other Names 1

Former Name (1)Selma Mahmutovic

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 Mahmutovic 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 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBIE WADDLE DO, MS, MS

Surgery