Individual provider Active NPI

Craig Mitchell Senzon, M.D.

  • Neurology Physician
  • Royal Palm Beach, FL
National Provider Identifier
1215924394
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME104508 Issued in FL
Practice address
9100 Belvedere Rd
Suite 109
Royal Palm Beach, FL 33411-3607
Phone
(561) 249-7575
Fax
(561) 249-7576
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2111711 NY
Neurology Physician 2084N0400X ME90505 FL
Neurology Physician 2084N0400X 226253 MA
Neurology Physician 2084N0400X 0420010990 VT
Neurology Physician 2084N0400X ME104508 FL Primary

Addresses

Primary practice location

9100 Belvedere Rd
Suite 109
Royal Palm Beach, FL 33411-3607

Mailing address

9960 NW 116TH Way
Suite 13
Medley, FL 33178-1167
Phone (786) 924-1311

Other identifiers 2

IdentifierTypeStateIssuer
2109166MedicaidMA
1011660MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.senzon@fcn.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040830000675 FL Practitioner - Neurology 5092607572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Buffalo School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

9100 Belvedere Rd
Suite 109
Royal Palm Beach, FL 33411-3608
Phone (561) 249-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226253MAMDSocial Worker
ME90505FLMDNeurology Physician
2111711NYMDNeurology Physician
0420010990VTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP Neurology CurrentSince Dec 1, 2015 Accepting new patients
McLaren Northern Michigan Past Accepting new patients
Berkshire Faculty Services Inc PastSince Aug 1, 2005 Accepting new patients
Neurological Diagnostic and Treatment Center Inc Neurology Past Accepting new patients
Neurological Consultants, P.C. Neurology Past Accepting new patients
Ms Center of Northeastern New York, PC Neurology PastSince Sep 8, 2006 Accepting new patients

Locations

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

9116 Forest Hill Blvd
Wellington, FL 33411
Phone (561) 249-7575

9100 Belvedere Rd
Ste 109
West Palm Beach, FL 33411
Phone (561) 249-7575

Organizations & group practices 6

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 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1215924394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD",
            "address_2": "SUITE 109",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-249-7575",
            "fax_number": "561-249-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENZON",
        "first_name": "CRAIG",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "2111711",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME90505",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "226253",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VT",
            "license": "0420010990",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME104508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109166",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011660",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.senzon@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9100 Belvedere Rd",
            "address_2": "Suite 109",
            "city": "Royal Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334113607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.