Individual provider Active NPI

Sugata Sensarma, M.D., MBBS

  • Pulmonary Disease Physician
  • Paducah, KY
National Provider Identifier
1083604748
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
47455 Issued in MN
Practice address
1920 Broadway St
Paducah, KY 42001-7106
Phone
(270) 442-3647
NPI assigned
Oct 25, 2005
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 47455 MN Primary

Addresses

Primary practice location

1920 Broadway St
Paducah, KY 42001-7106

Mailing address

PO Box 2027
Iowa City, IA 52244-2027
Phone (319) 339-3855

Other practice location 1

540 E Jefferson St Ste 301
Iowa City, IA 52245-2460
Phone (319) 688-7779

Other identifiers 8

IdentifierTypeStateIssuer
6D053CEOtherBLUE CROSS BLUE SHIELD
1043621OtherPREFERRED ONE
081635300OtherMEDICAL ASSISTANCE
2340115OtherARAZ GROUP AMERICAS PPO
4800420OtherMEDICA HEALTH PLANS
132821OtherU CARE
226G6SEOtherBLUE CROSS BLUE SHIELD
HP50699OtherHEALTH PARTNERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssensarma107998@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, IN, ND, KY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20080802000025 NE Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7416985635 Reassigns benefits to 2 organizations
I20091015000038 IA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7416985635 Reassigns benefits to 1 organization
I20120216000077 IN Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7416985635 Reassigns benefits to 2 organizations
I20150116001256 ND Practitioner - Internal Medicine 7416985635 Reassigns benefits to 1 organization
I20170608002529 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7416985635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800

546 Lone Oak Rd
Paducah, KY 42003-4526
Phone (270) 442-3647

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Southeastern Physician Services PC CurrentSince Sep 1, 2024 Accepting new patients
Apogee Medical Group Indiana PC CurrentSince Apr 10, 2017 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Oct 21, 2014 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Feb 1, 2015 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Feb 1, 2015 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Oct 21, 2014 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Past Accepting new patients
Methodist Health, Inc. Past Accepting new patients
The Mary Lanning Memorial Hospital Association Pulmonary Disease Past Accepting new patients
Trinity Medical Center Pulmonary Disease Past Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1920 Broadway St
Paducah, KY 42001
Phone (270) 442-3647

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

30 7th St W
Dickinson, ND 58601
Phone (701) 264-4000

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

Interoperability endpoints

  • Direct secure messaging: ssensarma1918@direct.unitypoint.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1083604748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522442027",
            "telephone_number": "319-339-3855",
            "fax_number": "319-358-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017106",
            "telephone_number": "270-442-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 E Jefferson St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452460",
            "country_code": "US",
            "telephone_number": "319-688-7779",
            "fax_number": "319-887-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENSARMA",
        "first_name": "SUGATA",
        "credential": "M.D., MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "47455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6D053CE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1043621",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "081635300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ GROUP AMERICAS PPO",
            "identifier": "2340115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLANS",
            "identifier": "4800420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "132821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "226G6SE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP50699",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssensarma107998@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1920 Broadway St",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420017106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.