Active NPI
Sreeroop Sen, M.D.
- Internal Medicine Physician
- Hartwell, GA
National Provider Identifier
1477537819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 041667
- Practice address
- 77 W Gibson St
Hartwell, GA 30643-1845 - Phone
- (706) 856-6973
- Fax
- (706) 856-6976
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 041667 | GA | Primary |
Addresses
Primary practice location
77 W Gibson St
Hartwell, GA 30643-1845
Mailing address
77 W Gibson St
Hartwell, GA 30643-1845
Phone (706) 856-6973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000711818G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100819000826 | GA | Practitioner - Internal Medicine | 3173609070 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 W Gibson St
Hartwell, GA 30643-1845
Phone (706) 856-6973
770 W Gibson St
Hartwell, GA 30643-1845
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisys Company
- Enhabit Home Health
- Piedmont Athens Regional Medical Center
- Ty Cobb Regional Medical Center, LLC
- Anmed Health
- Elbert Memorial Hospital
- St Mary'S Hospital
- Hart Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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 and National Provider Directory roles.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lavonia, GA
- NPI 1235187980
-
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1477537819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W GIBSON ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431845",
"telephone_number": "706-856-6973",
"fax_number": "706-856-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W GIBSON ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431845",
"telephone_number": "706-856-6973",
"fax_number": "706-856-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEN",
"first_name": "SREEROOP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "041667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000711818G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartwell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.