Active NPI
Kanaga Sena, MD
- Neurology Physician
- Stratford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 016415
- Practice address
- 2590 Main St
Stratford, CT 06615-5838 - Phone
- (203) 377-5988
- Fax
- (203) 380-0531
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 016415 | CT | Primary |
Addresses
Primary practice location
2590 Main St
Stratford, CT 06615-5838
Mailing address
24 Longmeadow Rd
Trumbull, CT 06611-2537
Phone (203) 261-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001164151 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
2780 Cleveland Ave
Ste 709
Fort Myers, FL 33901
Phone (239) 343-2551
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Interoperability endpoints
- ksena271944@direct.leememorial.org
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.
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1730121377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LONGMEADOW RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066112537",
"telephone_number": "203-261-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155838",
"telephone_number": "203-377-5988",
"fax_number": "203-380-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENA",
"first_name": "KANAGA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "016415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001164151",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.