Organization Active NPI

Shishir Senapati MD PC

  • General Practice Physician
  • Clinton TWP, MI
National Provider Identifier
1285718759
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
55066528 Issued in MI
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

Updated by the provider on Jul 8, 2015

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1105015402OtherBCBS
867733OtherCAPE HEALTH PLAN
NC011918OtherMCARE PPO
H33108OtherHAP
135474OtherGREAT LAKES
480005810MedicaidMI
7995388OtherAETNA
P00283142OtherMEDICARE TRAVELER
10158860001OtherWELLNESS PLAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.