Individual provider Active NPI

Devashish Sen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fredericksburg, VA
National Provider Identifier
1710959986
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
239890 Issued in NY
Practice address
402 Chatham Square Office Park
Fredericksburg, VA 22405-2544
Phone
(540) 659-5414
Fax
(540) 659-5415
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101243180 VA
Physical Medicine & Rehabilitation Physician 208100000X 239890 NY Primary

Addresses

Primary practice location

402 Chatham Square Office Park
Fredericksburg, VA 22405-2544

Mailing address

402 Chatham Square Office Park
Fredericksburg, VA 22405-2544
Phone (540) 659-5414

Other identifiers 1

IdentifierTypeStateIssuer
0101243180OtherVAVIRGINIA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@painregen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080521000572 VA Practitioner - Interventional Pain ManagementPractitioner - Other (Physician)Practitioner - Physical Medicine and Rehabilitation 7911986088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Map RC LLCGroup PAC ID 2567792724, 5 clinicians

Practice addresses (Care Compare)

402 Chatham Square Office Park
Fredericksburg, VA 22405-2544
Phone (540) 696-5414

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239890NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Map RC LLC Pain Medicine CurrentSince May 11, 2019 Accepting new patients
Map RC LLC CurrentSince Feb 25, 2019 Accepting new patients

Locations

402 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 659-5414

2565 Cowan Blvd
Fredericksburg, VA 22401
Phone (540) 289-2273

Interoperability endpoints

  • Direct secure messaging: devashish.sen@3403.securemail.prognocis.com

Organizations & group practices 2

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 3

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1710959986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052544",
            "telephone_number": "540-659-5414",
            "fax_number": "540-659-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052544",
            "telephone_number": "540-659-5414",
            "fax_number": "540-659-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN",
        "first_name": "DEVASHISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101243180",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0101243180",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@painregen.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 Chatham Square Office Park",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224052544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.