Individual provider Active NPI

Susmita Senapati, MD

  • Pediatrics Physician
  • Stamford, CT
National Provider Identifier
1003100397
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
049202 Issued in CT
Practice address
1011 High Ridge Rd
Stamford, CT 06905-1610
Phone
(203) 968-1900
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 049202 CT Primary

Addresses

Primary practice location

1011 High Ridge Rd
Stamford, CT 06905-1610

Mailing address

236 Fishing TRL
Stamford, CT 06903-2415
Phone (914) 803-2786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049202CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly After Hours Pediatrics Pediatrics Past Accepting new patients
All Ages Medical Care Inc Pediatrics Past Accepting new patients
Evelyn V Casas MD Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1378.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1003100397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 FISHING TRL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069032415",
            "telephone_number": "914-803-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051610",
            "telephone_number": "203-968-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENAPATI",
        "first_name": "SUSMITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "049202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.