Individual provider Active NPI

Senna Rae Munnikhuysen, MD

  • Pediatric Hematology & Oncology Physician
  • Lexington, KY
National Provider Identifier
1275064776
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
58108 Issued in KY
Practice address
800 Rose St Ste C400
Lexington, KY 40536-0010
Phone
(859) 257-4554
Fax
(859) 257-8978
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0089359 MD
Pediatrics Physician 208000000X R4564 KY
Pediatric Hematology & Oncology Physician 2080P0207X 58108 KY Primary

Addresses

Primary practice location

800 Rose St Ste C400
Lexington, KY 40536-0010

Mailing address

1800 Orleans St Ste 11379
Baltimore, MD 21287-0010
Phone (410) 955-8751

Other practice location 1

1800 Orleans St Ste 11379
Baltimore, MD 21287-0010
Phone (410) 955-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230630001403 KY Practitioner - Pediatric Medicine 8527318286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089359MDMDPediatrics Physician
58108KYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jun 21, 2023 Accepting new patients
Kentucky Medical Services Foundation, Inc Pediatrics CurrentSince Jun 21, 2023 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

800 Rose St
Rm MN118
Lexington, KY 40536
Phone (859) 323-5157

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Ste C400
Lexington, KY 40536
Phone (859) 257-4554

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Interoperability endpoints

  • Direct secure messaging: smunnikhuysen301118@ukhcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1275064776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST STE 11379",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-8751",
            "fax_number": "410-955-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST STE C400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360010",
            "telephone_number": "859-257-4554",
            "fax_number": "859-257-8978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St Ste 11379",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-8751",
            "fax_number": "410-955-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNNIKHUYSEN",
        "first_name": "SENNA",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0089359",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "R4564",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "KY",
            "license": "58108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.