Organization Active NPI

Kandasami Senthilkumar, MD PA

  • Neurology Physician
  • Beaumont, TX
National Provider Identifier
1700069184
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KANDASAMI SENTHILKUMAR, MD PA
Practice address
740 Hospital Dr
100
Beaumont, TX 77701-4664
Phone
(409) 838-4338
Fax
(409) 838-1488
NPI assigned
Dec 9, 2007
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Kandasami Senthilkumar, MDNPI 1811990369
Title
President
Phone
(409) 838-4338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

740 Hospital Dr
100
Beaumont, TX 77701-4664

Mailing address

PO Box 12685
Beaumont, TX 77726-2685
Phone (409) 838-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000397 TX Part B Supplier - Clinic/Group Practice 5991872053 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Locations

2929 Calder St
Ste 204
Beaumont, TX 77702
Phone (409) 835-1333

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1700069184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12685",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262685",
            "telephone_number": "409-838-4338",
            "fax_number": "409-838-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-838-4338",
            "fax_number": "409-838-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDASAMI SENTHILKUMAR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "SENTHILKUMAR",
        "authorized_official_first_name": "KANDASAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-838-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.