Individual provider Active NPI

Mark Timothy Senft, D.P.M.

  • Foot Surgery Podiatrist
  • Kailua Kona, HI
National Provider Identifier
1447350087
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO-140 Issued in HI
Practice address
75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631
Phone
(808) 331-8485
Fax
(808) 331-1333
NPI assigned
Sep 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO-140 HI Primary

Addresses

Primary practice location

75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631

Mailing address

75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631
Phone (808) 331-8485

Other identifiers 2

IdentifierTypeStateIssuer
MEDICAIDOtherHI49356001
HMSAOtherHI22042-6

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001205 HI Practitioner - Podiatry 9335167428 Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-140HIMDFoot Surgery Podiatrist
955TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kona Foot Care, LLC Foot Surgery PastSince Aug 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447350087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD",
            "address_2": "SUITE #3006",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403631",
            "telephone_number": "808-331-8485",
            "fax_number": "808-331-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD",
            "address_2": "SUITE #3006",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403631",
            "telephone_number": "808-331-8485",
            "fax_number": "808-331-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENFT",
        "first_name": "MARK",
        "middle_name": "TIMOTHY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "HI",
            "license": "PO-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "49356001",
            "identifier": "MEDICAID",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22042-6",
            "identifier": "HMSA",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.