SELINA SU PA-C
NPI 1689262586
Physician Assistant in Baltimore, MD

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment
67.89/100
CMS Quality Rating
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(484) 350-1167 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Jan 6, 2021 (2 updates tracked since 2021).

About Selina Su Pa-c NPPES

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

SELINA SU PA-C (NPI 1689262586) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0007869) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689262586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSELINA SUCredential: PA-C
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address3774 Donald DrGarnet Valley, PA 19060-1525 · (484) 350-1167
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 6, 2021
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1689262586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MD · C0007869 Licensed in PA · OA005451 Licensed in PA · MA062169
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2401 W BELVEDERE AVE, Baltimore, MD 21215

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Selina Su Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294141602
PECOS Enrollment IDI20210310000920
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.17
Promoting Interoperability100
Improvement Activities40
Cost28.11

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.

Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Internal Medicine
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Pediatrics (Pediatric Critical Care Medicine)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Counselor (Professional)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215

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 Selina Su's NPI number?

The NPI number for Selina Su is 1689262586. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Selina Su located?

Selina Su practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (484) 350-1167.

What is Selina Su's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Selina Su enrolled in Medicare?

Yes. Selina Su is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Selina Su affiliated with any hospitals?

According to CMS data, Selina Su is affiliated with University Of Maryland Medical Center.

When was this NPI record last updated?

The NPPES record for Selina Su was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.