NPIMap

Individual provider Active NPI

Pronab Kanti Sensarma, MD

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1073595815
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-19419 Issued in KS
Practice address
9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182
Phone
(316) 858-9000
Fax
(316) 858-9005
NPI assigned
Nov 17, 2005
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 04-19419 KS Primary
Internal Medicine Physician 207R00000X 04-19419 KS

Addresses

Primary practice location

9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182

Mailing address

9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182
Phone (316) 858-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001122 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476593385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-19419KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center LLC Current Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Eleven-Twelve Company Internal Medicine Current Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Kansas Medical Center, LLC Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Line Medical Inc Past Accepting new patients
Ninnescah Valley Health Systems, Inc. PastSince Nov 13, 2022 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Internal Medicine Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

750 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

1144 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 267-0159

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

9300 E 29th St N
Ste 310
Wichita, KS 67226
Phone (316) 651-8900

9840 E 21st St N
Wichita, KS 67206
Phone 31685890005811

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (2.65%) Oct 16, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1073595815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262182",
            "telephone_number": "316-858-9000",
            "fax_number": "316-858-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262182",
            "telephone_number": "316-858-9000",
            "fax_number": "316-858-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENSARMA",
        "first_name": "PRONAB",
        "middle_name": "KANTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-19419",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-19419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.