Individual provider Active NPI

Bryan Matthew Senisi, D.O.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1295147015
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO034779 Issued in DC
Practice address
1330 New Hampshire Ave NW Ste 121
Washington, DC 20036-6313
Phone
(202) 463-0220
Fax
(202) 463-0222
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DC
Internal Medicine Physician 207R00000X DO034779 DC Primary

Addresses

Primary practice location

1330 New Hampshire Ave NW Ste 121
Washington, DC 20036-6313

Mailing address

1330 New Hampshire Ave NW Ste 121
Washington, DC 20036-6313
Phone (202) 463-0220

Other practice location 1

1140 Varnum St NE Ste 203
Washington, DC 20017-2153
Phone (202) 525-5175

Other identifiers 1

IdentifierTypeStateIssuer
DO034779OtherDCDC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20171118000011 DC Practitioner - Internal Medicine 5698067312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Health InstituteGroup PAC ID 1456696368, 18 clinicians

Practice addresses (Care Compare)

1330 New Hampshire Ave NW
Suite 121
Washington, DC 20036-6313
Phone (202) 463-0220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO034779DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Health Institute Internal Medicine CurrentSince Mar 2, 2023 Accepting new patients

Locations

1330 New Hampshire Ave NW
Ste 121
Washington, DC 20036
Phone (202) 463-0220

1140 Varnum St NE
Ste 203
Washington, DC 20017
Phone (202) 525-5175

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDGCD

Organizations & group practices 1

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1295147015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW STE 121",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366313",
            "telephone_number": "202-463-0220",
            "fax_number": "202-463-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW STE 121",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366313",
            "telephone_number": "202-463-0220",
            "fax_number": "202-463-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Varnum St NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172153",
            "country_code": "US",
            "telephone_number": "202-525-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENISI",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "DO034779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICAL LICENSE",
            "identifier": "DO034779",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.