Individual provider Active NPI

Rohan Senerat Jayasena, MD

  • Pediatrics Physician
  • Sidney, NY
National Provider Identifier
1083726731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
221408 Issued in NY
Practice address
44 Pearl Street
Sidney, NY 13838
Phone
(607) 563-9961
Fax
(607) 563-8804
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 221408 NY Primary

Addresses

Primary practice location

44 Pearl Street
Sidney, NY 13838

Mailing address

44 Pearl Street
Sidney, NY 13838
Phone (607) 563-9961

Other identifiers 1

IdentifierTypeStateIssuer
02166609MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000633 NY Practitioner - Pediatric Medicine 3375624224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

179 N Broad St
Uhs Senior Living Norwich
Norwich, NY 13815-1019
Phone (607) 337-4111

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221408NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Dec 5, 2011 Accepting new patients
Chenango Memorial Hospital, Inc. Pediatrics CurrentSince Dec 5, 2011 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Chenango Memorial Hospital IncNorwich, NY, CCN 330033 Hospital Corporate Director Aug 4, 2025
Chenango Memorial Hospital IncNorwich, NY, CCN 33U033 Hospital Corporate Director Aug 4, 2025

Owned or controlled facilities with NPI records 3

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

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083726731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PEARL STREET",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "13838",
            "telephone_number": "607-563-9961",
            "fax_number": "607-563-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PEARL STREET",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "13838",
            "telephone_number": "607-563-9961",
            "fax_number": "607-563-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASENA",
        "first_name": "ROHAN",
        "middle_name": "SENERAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "221408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NY

Sources for this page

Verify at the official NPI Registry.