Individual provider Active NPI

Lilia F Sen, M.D.

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1144596784
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51677 Issued in AZ
Practice address
6565 E Carondelet Dr Ste 300
Tucson, AZ 85710-2158
Phone
(520) 545-0608
Fax
(520) 795-0354
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51677 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6565 E Carondelet Dr Ste 300
Tucson, AZ 85710-2158

Mailing address

3815 S. Val Vista Drive
Suite 101
Gilbert, AZ 85297-7309
Phone (480) 782-0993

Other identifiers 1

IdentifierTypeStateIssuer
200728MedicaidAZ

Other names 1

  • Lilia F Shammassova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161103001528 AZ Practitioner - Obstetrics/Gynecology 8628356185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

4600 S Park Ave
Suite 6B
Tucson, AZ 85714-1697
Phone (520) 624-6260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Nov 11, 2018 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Arizona OB GYN Affiliates PC Past Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

4600 S Park Ave
Ste 6B
Tucson, AZ 85714
Phone (520) 323-5577

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6565 E Carondelet Dr
Ste 300
Tucson, AZ 85710
Phone (520) 296-8500

6452 E Carondelet Dr
Ste 100
Tucson, AZ 85710
Phone (520) 323-0333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lilia.f.sen.1@19050.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1144596784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S. VAL VISTA DRIVE",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977309",
            "telephone_number": "480-782-0993",
            "fax_number": "855-329-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102158",
            "telephone_number": "520-545-0608",
            "fax_number": "520-795-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN",
        "first_name": "LILIA",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "51677",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "SHAMMASSOVA",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.