Individual provider Active NPI

Amanda Lutter Sen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gahanna, OH
National Provider Identifier
1215314521
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003891 Issued in OH
Practice address
426 Beecher Rd Ste a
Gahanna, OH 43230-3506
Phone
(614) 939-9330
Fax
(614) 939-9299
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301259 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 07001274A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 00488 KY
Student in an Organized Health Care Education/Training Program 390200000X OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36003891 OH Primary

Addresses

Primary practice location

426 Beecher Rd Ste a
Gahanna, OH 43230-3506

Mailing address

426 Beecher Rd Ste a
Gahanna, OH 43230-3506
Phone (614) 939-9330

Other practice location 1

734 W Main St Ste 106
Louisville, KY 40202
Phone (502) 804-4811

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alutter24696@lickingmemorial.medicity.net Licking Memorial Professional Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190930002589 VA Practitioner - Podiatry 5991050221 Reassigns benefits to 1 organization
I20210614001406 OH Practitioner - Podiatry 5991050221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3525 Olentangy River Rd
Suite 6300
Columbus, OH 43214-3937
Phone (937) 545-2897

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue213
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001274AINMDFoot & Ankle Surgery Podiatrist
00488KYMDFoot & Ankle Surgery Podiatrist
36003891OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of Central Ohio LLC CurrentSince Jun 22, 2021 Accepting new patients
Foot and Ankle Specialists of Central Ohio, LLC Foot & Ankle Surgery CurrentSince Jun 22, 2021 Accepting new patients
Asdpm LLC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

3525 Olentangy River Rd
Ste 6300
Columbus, OH 43214
Phone (614) 459-7676

426 Beecher Rd
Ste A
Gahanna, OH 43230
Phone (614) 939-9330

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

Organizations & group practices 5

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 5

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1215314521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BEECHER RD STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303506",
            "telephone_number": "614-939-9330",
            "fax_number": "614-939-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BEECHER RD STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303506",
            "telephone_number": "614-939-9330",
            "fax_number": "614-939-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 W Main St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-804-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEN",
        "first_name": "AMANDA",
        "middle_name": "LUTTER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301259",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001274A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00488",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alutter24696@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Professional Corporation",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.