Active NPI
Shishir Senapati MD PC
- General Practice Physician
- Clinton TWP, MI
National Provider Identifier
1285718759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 55066528
- Legal business name
- SHISHIR SENAPATI MD PC
- Practice address
- 43211 Dalcoma Dr
#3
Clinton TWP, MI 48038-6309 - Phone
- (586) 263-9355
- Fax
- (586) 979-9810
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shishir K Senapati, MD
- Title
- Physician Owner
- Phone
- (586) 284-9444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 55066528 | MI | Primary |
Addresses
Primary practice location
43211 Dalcoma Dr
#3
Clinton TWP, MI 48038-6309
Mailing address
43211 Dalcoma Dr
#3
Clinton TWP, MI 48038-6309
Phone (586) 263-9355
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105015402 | Other | BCBS | |
| 867733 | Other | CAPE HEALTH PLAN | |
| NC011918 | Other | MCARE PPO | |
| H33108 | Other | HAP | |
| 135474 | Other | GREAT LAKES | |
| 480005810 | Medicaid | MI | |
| 7995388 | Other | AETNA | |
| P00283142 | Other | MEDICARE TRAVELER | |
| 10158860001 | Other | WELLNESS PLAN |
National Provider Directory
National Provider DirectoryLocations
43211 Dalcoma Dr
Ste 3
Clinton Twp, MI 48038
Phone (586) 263-6812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436313600000",
"number": "1285718759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43211 DALCOMA DR",
"address_2": "#3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480386309",
"telephone_number": "586-263-9355",
"fax_number": "586-263-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43211 DALCOMA DR",
"address_2": "#3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480386309",
"telephone_number": "586-263-9355",
"fax_number": "586-979-9810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHISHIR SENAPATI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2015-07-08",
"status": "A",
"authorized_official_last_name": "SENAPATI",
"authorized_official_first_name": "SHISHIR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "586-284-9444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MI",
"license": "55066528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1105015402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "867733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE PPO",
"identifier": "NC011918",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H33108",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "135474",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "480005810",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7995388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELER",
"identifier": "P00283142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLNESS PLAN",
"identifier": "10158860001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.