NPIMap

Individual provider Active NPI

Sandra N Seneshen, M.D.

  • Surgery Physician
  • Jeffersonville, IN
National Provider Identifier
1396730669
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01053197A Issued in IN
Practice address
301 Gordon Gutmann Blvd
Suite 401
Jeffersonville, IN 47130-3764
Phone
(812) 282-0637
Fax
(812) 283-6330
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01053197A IN Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd
Suite 401
Jeffersonville, IN 47130-3764

Mailing address

PO Box 776351 Suite 401
Chicago, IL 60677-6351
Phone (502) 559-9337

Other identifiers 6

IdentifierTypeStateIssuer
200267780MedicaidIN
196290271OtherINMEDICARE
200267780AMedicaidIN
01053197AOtherINSTATE ID #
7100447830MedicaidKY
01053197BOtherINCONTROLLED SUBSTANCE REG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000083 IN Practitioner - General Surgery 1456366194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2581

1373 E State Rd
Madison, IN 47250-7328

2051 Clevidence Blvd
Clarksville, IN 47129-2278

301 Gordn Gutmann Blvd
Suite 101
Jeffersonville, IN 47130-3765
Phone (812) 282-4844

301 Gordon Gutmann Blvd
Suite 401
Jeffersonville, IN 47130-3768
Phone (812) 282-0637

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Clarksville, IN, CCN 157584
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue58
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053197AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC Surgery CurrentSince Aug 1, 2015 Accepting new patients
Surgical Associates Southern Indiana, PSC Surgery Current Accepting new patients
Community Medical Associates, Inc. Surgery CurrentSince Apr 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Stephen F Pinkerton, MD, PC Surgery Past Accepting new patients
Norton Clark Physician Practices, LLC Past Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

301 Gordon Gutmann Blvd
Ste 401
Jeffersonvlle, IN 47130
Phone (812) 282-0637

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

Interoperability endpoints

  • Direct secure messaging: sseneshen283197@direct.nortonhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1396730669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351 SUITE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9337",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD",
            "address_2": "SUITE 401",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303764",
            "telephone_number": "812-282-0637",
            "fax_number": "812-283-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENESHEN",
        "first_name": "SANDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01053197A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267780",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196290271",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267780A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID #",
            "identifier": "01053197A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100447830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REG",
            "identifier": "01053197B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.