Active NPI
Steven Louis Senneville, DPM
- Podiatrist
- Melrose, MA
National Provider Identifier
1326116203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1776
- Practice address
- 465 Main St
Melrose, MA 02176 - Phone
- (781) 665-4625
- Fax
- (781) 665-0090
- NPI assigned
- Dec 1, 2006
- Last updated
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1776 | MA | Primary |
Addresses
Primary practice location
465 Main St
Melrose, MA 02176
Mailing address
20 Lafayette St
Wakefield, MA 01880-2305
Phone (978) 578-0610
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361526 | Medicaid | MA | |
| 9774149 | Other | MA | MEDICAID FAMILY FOOT CARE |
| Y77138 | Other | MEDICARE FAMILY FOOT CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1776 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrose Family Foot Care Group | Current | Accepting new patients | |
| Melrose Family Foot Care Group Inc | Podiatrist | Current | Accepting new patients |
Locations
465 Main St
Melrose, MA 02176
Phone (617) 665-4625
533 Franklin St
Melrose, MA 02176
Phone (617) 665-4625
Interoperability endpoints
- ssenneville28917@tuftsmedicine.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Melrose, MA
- NPI 1780733121
-
- Foot Surgery Podiatrist
- Melrose, MA
- NPI 1679966584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1326116203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LAFAYETTE ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802305",
"telephone_number": "978-578-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MAIN ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "02176",
"telephone_number": "781-665-4625",
"fax_number": "781-665-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNEVILLE",
"first_name": "STEVEN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361526",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID FAMILY FOOT CARE",
"identifier": "9774149",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FAMILY FOOT CARE",
"identifier": "Y77138",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.