Individual provider Active NPI

Alex Senchenkov, MD

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
National Provider Identifier
1770558454
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME130013 Issued in FL
Practice address
2426 S Tamiami Trail, Floor 3
Sarasota, FL 34239
Phone
(507) 398-2753
Fax
(941) 866-9024
NPI assigned
Feb 17, 2006
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME130013 FL
Otolaryngology Physician 207Y00000X ME130013 FL
Plastic Surgery Physician 208200000X ME130013 FL
Plastic Surgery Physician 208200000X 77201 GA
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X ME130013 FL
Surgery Physician 208600000X ME130013 FL
Surgery Physician 208600000X 77201 GA
Plastic and Reconstructive Surgery Physician 2086S0122X ME130013 FL Primary
Surgical Oncology Physician 2086X0206X ME130013 FL

Addresses

Primary practice location

2426 S Tamiami Trail, Floor 3
Sarasota, FL 34239

Mailing address

PO Box 3612
Sarasota, FL 34230
Phone (507) 398-2753

Other practice location 1

2020 59th St W
Bradenton, FL 34209-4604
Phone (706) 863-9595

Other identifiers 1

IdentifierTypeStateIssuer
107621600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161116002244 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Surgical Oncology 3779562111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Surgical Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2426 S Tamiami TRL
Sarasota, FL 34239-3842
Phone (507) 398-2753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130013FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Argomed Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Spectrum Plastic Surgery LLC Plastic Surgery CurrentSince Sep 1, 2020 Accepting new patients
University Ear, Nose and Throat Specialists, Inc. Otolaryngology Past Accepting new patients
Geisinger Clinic Past Accepting new patients
FCHC Medical Care, LLC Past Accepting new patients

Locations

1307 S Tamiami Trl
Osprey, FL 34229
Phone (941) 300-9111

2426 S Tamiami Trl
Sarasota, FL 34239
Phone (507) 398-2753

2426 S Tamiami Trl
Fl 3
Sarasota, FL 34239
Phone (507) 398-2753

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1770558454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3612",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34230",
            "telephone_number": "507-398-2753",
            "fax_number": "941-866-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S TAMIAMI TRAIL, FLOOR 3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "507-398-2753",
            "fax_number": "941-866-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 59th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342094604",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENCHENKOV",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "77201",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "77201",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME130013",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME130013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107621600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.