Active NPI
Martin Senitko, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 21218
- Practice address
- 3635 Bienville Blvd
Ocean Springs, MS 39564-5711 - Phone
- (228) 872-1951
- Fax
- (228) 875-9998
- NPI assigned
- May 17, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21218 | MS | |
| Internal Medicine Physician | 207R00000X | 17578 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2020011730 | MO | |
| Nephrology Physician | 207RN0300X | M4522 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 21218 | MS | Primary |
Addresses
Primary practice location
3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187822501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7112
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21218 | MS | MD | Internal Medicine Physician |
| 17578 | NV | MD | Internal Medicine Physician |
| 2020011730 | MO | MD | Critical Care Medicine (Internal Medicine) Physician |
| M4522 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Internal Medicine | Current | Accepting new patients |
| Rabessler MD PC | Family Medicine | Current | Accepting new patients |
| Bessler MD, PLLC | Family Medicine | Current | Accepting new patients |
| Dallas Nephrology Associates | Past | Accepting new patients | |
| Brown, Calvanese, Cameron LTD | Past | Accepting new patients | |
| Dallas Nephrology Associates | Nephrology | Past | Accepting new patients |
| Community Medical Center | Family Medicine | Past | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBHCBA
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
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.
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Sound Physicians of Nevada III
- Internal Medicine Physician
- Henderson, NV
- NPI 1801288774
Family Medicine
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
-
dba Western Emergency Physicians
- Emergency Medicine Physician
- Reno, NV
- NPI 1275568479
-
dba Dallas Nephrology Associates Vascular Center Dallas
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1396952271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340",
"telephone_number": "228-497-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645711",
"telephone_number": "228-872-1951",
"fax_number": "228-875-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENITKO",
"first_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "21218",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "17578",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2020011730",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "M4522",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MS",
"license": "21218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187822501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.