Individual provider Active NPI

Martin Senitko, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocean Springs, MS
National Provider Identifier
1396952271
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
21218 Issued in MS
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

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
187822501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101201000239 MS Practitioner - Internal MedicinePractitioner - Nephrology 0749371086 Reassigns benefits to 2 organizations
I20180213003346 NV Practitioner - Internal MedicinePractitioner - Nephrology 0749371086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River GulfportGroup PAC ID 5294154829, 75 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

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

LicenseStateTypeSpecialty
21218MSMDInternal Medicine Physician
17578NVMDInternal Medicine Physician
2020011730MOMDCritical Care Medicine (Internal Medicine) Physician
M4522TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Gulfport CurrentSince Aug 1, 2022 Accepting new patients
Singing River Gulfport Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Rabessler MD PC Family Medicine CurrentSince Apr 29, 2019 Accepting new patients
Bessler MD, PLLC Family Medicine CurrentSince May 11, 2019 Accepting new patients
Dallas Nephrology Associates Past Accepting new patients
Brown, Calvanese, Cameron LTD PastSince Feb 18, 2024 Accepting new patients
Dallas Nephrology Associates Nephrology PastSince Nov 22, 2016 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

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

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.