Individual provider Active NPI

Joanna Margaret Sentissi, M.D.

  • Surgery Physician
  • Newton, MA
National Provider Identifier
1750387874
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52435 Issued in MA
Practice address
2000 Washington St
Ste 365
Newton, MA 02462-1627
Phone
(617) 244-5355
Fax
(617) 244-8662
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52435 MA Primary
Vascular Surgery Physician 2086S0129X 52435 MA

Addresses

Primary practice location

2000 Washington St
Ste 365
Newton, MA 02462-1627

Mailing address

2000 Washington St
Ste 365
Newton, MA 02462-1627
Phone (617) 244-5355

Other identifiers 1

IdentifierTypeStateIssuer
3006867MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050323001088 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 8729034608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Surgeons IncGroup PAC ID 3971600438, 2 clinicians

Practice addresses (Care Compare)

20 Hope Ave
Suite 102
Waltham, MA 02453-2717
Phone (617) 244-5355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52435MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Surgeons Inc CurrentSince May 7, 1984 Accepting new patients

Locations

2000 Washington St
Ste 365
Newton Lower Falls, MA 02462
Phone (617) 244-1311

20 Hope Ave
Ste 102
Waltham, MA 02453
Phone (617) 244-5355

Interoperability endpoints

  • Direct secure messaging: sentissi.joanna.nwsu@direct.partners.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1750387874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 365",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621627",
            "telephone_number": "617-244-5355",
            "fax_number": "617-244-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 365",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621627",
            "telephone_number": "617-244-5355",
            "fax_number": "617-244-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTISSI",
        "first_name": "JOANNA",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "52435",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "52435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006867",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.