Sourav Sengupta, MD, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

269751 Issued in NY

Practice address

462 Grider St
Ecmc - 11TH Floor, Department of Psychiatry
Buffalo, NY 14215-3021

Phone

(716) 898-5940

NPI assigned

Jul 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment
• Academic Medicine Services, Inc.

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1255394763
  NPD (past)

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1679737290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "ECMC - 11TH FLOOR, DEPARTMENT OF PSYCHIATRY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "ECMC - 11TH FLOOR, DEPARTMENT OF PSYCHIATRY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGUPTA",
        "first_name": "SOURAV",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "269751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca Cazenovia O S S
• Seneca Pharmacy of Wny Inc
• Jill K Sengbusch, MA CCC SLP
• Philip Senger, M.D.
• Chelsey Monet Sengillo
• Tara L Senia, LMSW
• Emily Corinn Senick
• Senses Medical Wellness PLLC
• Christine Louise Sentman, COTA/C
• He Weon Seo

• Psychiatry Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.