Individual provider Active NPI

Lowell Grey Sensintaffar, M.D.

  • Family Medicine Physician
  • Shiloh, IL
National Provider Identifier
1487649067
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-105071 Issued in IL
Practice address
1116 Hartman LN
Shiloh, IL 62221-7921
Phone
(618) 641-9011
Fax
(618) 641-9017
NPI assigned
Sep 20, 2005
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-105071 IL Primary

Addresses

Primary practice location

1116 Hartman LN
Shiloh, IL 62221-7921

Mailing address

1116 Hartman LN
Shiloh, IL 62221-7921
Phone (618) 641-9011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsensintaffar100546@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000971 IL Practitioner - Family Practice 4789650342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 Hamacher St
Waterloo, IL 62298-1592
Phone (618) 939-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105071ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Aug 7, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Aug 7, 2025 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine Current Accepting new patients

Locations

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

1000 Eleven S
Columbia, IL 62236
Phone (618) 663-3323

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: lowell.sensintaffar.1@27782.direct.athenahealth.com
  • Direct secure messaging: lsensintaffar100546@ewd.direct.hshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1487649067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 HARTMAN LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622217921",
            "telephone_number": "618-641-9011",
            "fax_number": "618-641-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HARTMAN LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622217921",
            "telephone_number": "618-641-9011",
            "fax_number": "618-641-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENSINTAFFAR",
        "first_name": "LOWELL",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-105071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsensintaffar100546@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1116 Hartman Ln",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622217921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.